title: Inguinal Herniation Containing Bladder, Causing Contralateral Allograft Hydroureteronephrosis-A Case Report and Literature Review.
abstract: We report the first documented case of an inguinal hernia containing bladder, resulting in contralateral allograft hydroureteronephrosis. A 39-year-old male patient presented with allograft dysfunction, a contralateral inguinoscrotal hernia, and marked hydroureteronephrosis on ultrasound (US). Percutaneous nephrostogram and a retrograde cystogram suggested bladder herniation with incorporation of the contralateral ureteroneocystostomy into the hernia. Paraperitoneal bladder herniation was confirmed at surgery and hernioplasty was performed. Six-week follow-up revealed normal renal function with no sign of hernia recurrence. Despite occurring rarely, transplant ureter or bladder herniation should be considered in the differential diagnosis of hydroureteronephrosis. This case illustrates that the contralateral position of hernia to allograft does not necessarily preclude the hernia as the source of ureteric obstruction.
authors.affiliation: Division of Transplant Surgery, Groote Schuur Hospital, Cape Town, South Africa.
authors.forename: T
authors.initials: T
authors.lastname: du Toit
authors.affiliation: Division of Urology, Groote Schuur Hospital, Cape Town, South Africa.
authors.forename: L
authors.initials: L
authors.lastname: Kaestner
authors.affiliation: Division of Transplant Surgery, Groote Schuur Hospital, Cape Town, South Africa.
authors.forename: E
authors.initials: E
authors.lastname: Muller
authors.affiliation: Division of Transplant Surgery, Groote Schuur Hospital, Cape Town, South Africa.
authors.forename: D
authors.initials: D
authors.lastname: Kahn
mesh_terms: D000328:Adult; D064591:Allografts; D006552:Hernia, Inguinal / Q000150:complications*; D006801:Humans; D006869:Hydronephrosis / Q000209:etiology*; D008297:Male; D016896:Treatment Outcome; D001743:Urinary Bladder / Q000601:surgery*; D014549:Urinary Incontinence / Q000209:etiology*
keywords: clinical research/practice; complication: surgical/technical; diagnostic techniques and imaging; kidney transplantation/nephrology