title: Paratransplant Hernia: A True Emergency After Renal Transplant.
abstract: We report a case of paratransplant hernia, a rare surgical complication of a renal transplant. It is caused by entrapment of the bowel through a defect in the peritoneum, which lines on the transplanted kidney. Careful dissection and meticulous surgical technique during transplant, closing any peritoneal defect, regardless of size, can avoid this complication. The prognosis depends on clinical suspicion, prompt diagnosis, and early surgical intervention. If strangulation occurs, the associated mortality is high.
authors.affiliation: >From the Imperial College Healthcare Trust, Renal and Transplant Unit, Hammersmith Hospital, London, W12 OHS, United Kingdom.
authors.forename: Pierpaolo
authors.initials: P
authors.lastname: Di Cocco
authors.forename: Apostolos
authors.initials: A
authors.lastname: Kandilis
authors.forename: Poyyamozhi
authors.initials: P
authors.lastname: Rajagopal
authors.forename: Nadey
authors.initials: N
authors.lastname: Hakim
mesh_terms: D000328:Adult; D004630:Emergencies; D046449:Hernia, Abdominal / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects*; D008297:Male; D012086:Reoperation; D013536:Suture Techniques; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome