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Different Management Options for Transplant Ureteral Obstructions within an Inguinal Hernia

Ureteral obstruction secondary to an inguinal hernia with transplant ureteral component is an extremely rare entity with only several case reports found in literature. In all previously reported cases, management of the obstruction involved temporary drainage with ureteral stenting or nephrostomy tu...

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Detalles Bibliográficos
Autores principales: Cheung, Felix, Debartolo, Merrit Marion, Copertino, Leonard Michael, Szafran, April Adams, Estrada, Chelsea Caron, Lynch, Patrick Gerard, Darras, Frank Sam
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4842045/
https://www.ncbi.nlm.nih.gov/pubmed/27144049
http://dx.doi.org/10.1155/2016/4730494
Descripción
Sumario:Ureteral obstruction secondary to an inguinal hernia with transplant ureteral component is an extremely rare entity with only several case reports found in literature. In all previously reported cases, management of the obstruction involved temporary drainage with ureteral stenting or nephrostomy tube placements followed by delayed definitive repair. We present two case reports, here one being the first one managed by immediate definitive repair via ureteral reimplant and herniorrhaphy and a second case by delayed definitive repair after percutaneous nephrostomy tube placement. Both patients continued to do well postoperatively with normalization of renal function on follow-up.