title: Contralateral inguinal herniation of a transplant ureter causing obstructive uropathy in a renal transplant recipient.
abstract: Ipsilateral inguinal herniation of the transplanted ureter has been reported as a rare cause of obstructive uropathy in renal transplant recipients. A 73-year-old man presented with acute renal failure 29 years after receiving a deceased donor renal transplant. Radiological investigations demonstrated marked hydronephrosis of the left iliac fossa transplant kidney and herniation of the distal transplant ureter and bladder into the right inguinal canal. The patient underwent placement of a nephrostomy and antegrade stent followed by definitive hernia repair with return of graft function to baseline level.
authors.affiliation: Department of Renal Transplant, Guy's and St Thomas' Hospital, London, UK.
authors.forename: Niyati
authors.initials: N
authors.lastname: Lobo
authors.affiliation: Department of Renal Transplant, Guy's and St Thomas' Hospital, London, UK.
authors.forename: Fiona
authors.initials: F
authors.lastname: McCaig
authors.affiliation: Department of Renal Transplant, Guy's and St Thomas' Hospital, London, UK.
authors.forename: Jonathon
authors.initials: J
authors.lastname: Olsburgh
mesh_terms: D000368:Aged; D006552:Hernia, Inguinal / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D006869:Hydronephrosis / Q000209:etiology; D016030:Kidney Transplantation / Q000009:adverse effects*; D008297:Male; D009403:Nephrostomy, Percutaneous / Q000295:instrumentation / Q000379:methods; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014513:Ureter / Q000000981:diagnostic imaging; D014517:Ureteral Obstruction / Q000000981:diagnostic imaging / Q000209:etiology*; D001743:Urinary Bladder / Q000000981:diagnostic imaging