In a kidney transplant recipient, bladder and graft ureter displacement into a groin hernia is a highly unusual cause of obstructive uropathy that may lead to graft dysfunction or graft loss. We report the case of a White man, 56 years old, who had previously, at the age of 19 years, undergone a kidney transplant from a deceased donor, to mitigate chronic glomerulonephritis. The patient presented to us with a reducible left inguinal hernia with worsening kidney function, and we used the Lichtenstein hernioplasty technique to surgically repair the hernia, which was followed by an uneventful postoperative course. Existing literature has identified few cases of kidney graft dysfunction due to inguinal hernias. Groin hernia repair of this type in this specific circumstance remains a subject of debate. However, in our opinion, with attention to appropriate reductions of immunosuppressive therapy, the Lichtenstein technique is safe for transplant recipients and the use of mesh greatly reduces the risk of hernia recurrence.

Giacomoni, A., Hassan, R., Vanzulli, A., De Carlis, L. (2021). Obstructive uropathy due to an unusual inguinal hernia 35 years after kidney transplant. EXPERIMENTAL AND CLINICAL TRANSPLANTATION, 19(1), 80-82 [10.6002/ect.2020.0487].

Obstructive uropathy due to an unusual inguinal hernia 35 years after kidney transplant

De Carlis L.
2021

Abstract

In a kidney transplant recipient, bladder and graft ureter displacement into a groin hernia is a highly unusual cause of obstructive uropathy that may lead to graft dysfunction or graft loss. We report the case of a White man, 56 years old, who had previously, at the age of 19 years, undergone a kidney transplant from a deceased donor, to mitigate chronic glomerulonephritis. The patient presented to us with a reducible left inguinal hernia with worsening kidney function, and we used the Lichtenstein hernioplasty technique to surgically repair the hernia, which was followed by an uneventful postoperative course. Existing literature has identified few cases of kidney graft dysfunction due to inguinal hernias. Groin hernia repair of this type in this specific circumstance remains a subject of debate. However, in our opinion, with attention to appropriate reductions of immunosuppressive therapy, the Lichtenstein technique is safe for transplant recipients and the use of mesh greatly reduces the risk of hernia recurrence.
Articolo in rivista - Articolo scientifico
Inguinal hernia; Lichtenstein hernioplasty; Worsening kidney function;
English
80
82
3
Giacomoni, A., Hassan, R., Vanzulli, A., De Carlis, L. (2021). Obstructive uropathy due to an unusual inguinal hernia 35 years after kidney transplant. EXPERIMENTAL AND CLINICAL TRANSPLANTATION, 19(1), 80-82 [10.6002/ect.2020.0487].
Giacomoni, A; Hassan, R; Vanzulli, A; De Carlis, L
File in questo prodotto:
Non ci sono file associati a questo prodotto.

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/355697
Citazioni
  • Scopus 0
  • ???jsp.display-item.citation.isi??? 0
Social impact