Graft Hydroureteronephrosis Secondary to Inguinal Hernia: A Report of Two Unusual Cases

authors:

avatar Mary Eng 1 , * , avatar Suzanne Schiffman 2 , avatar Kadiyala Ravindra 3

Department of Surgery, University of Louisville, mary.eng@louisville.edu, KY, USA
Department of Surgery, University of Louisville, KY, USA
Department of Surgery, Duke University, NC, USA
Nephro-Urology Monthly: Vol.3, issue 4; 301-303
article type: Case Report
received: February 12, 2011
accepted: March 7, 2011

how to cite: Eng M, Schiffman S, Ravindra K. Graft Hydroureteronephrosis Secondary to Inguinal Hernia: A Report of Two Unusual Cases. Nephro-Urol Mon. 2011;3(4): 301-303. 

Abstract

Allograft hydroureteronephrosis caused by ipsilateral inguinal hernia occurs rarely. Its close proximity to the spermatic cord structures places the ureter at risk for herniation into the internal inguinal ring. Likewise, the ureter is also at risk for injury during inguinal herniorrhaphy. We present two cases where such events occurred in two separate patients. In both cases, the patients were managed with percutaneous nephrostomy tube decompression followed by definitive surgical repair.

Implication for health policy/practice/research/medical education:

This article informs the medical providers of renal transplant patients that hydroureteronephrosis and allograft dysfunction may be caused by an ipsilateral hernia or due to injury after herniorrhaphy.

Please cite this paper as:

Eng M, Schiffman S, Ravindra K. Graft Hydroureteronephrosis Secondary to Inguinal Hernia: A Report of Two Unusual Cases. Nephro-
Urol Mon. 2011;3(4):x-x.

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