Cascales-Sanchez P, Martinez-Moreno A, Vazquez-Aragon P, Miota-De Llama J I, Gallego-Valcarcel E, Llamas-Fuentes F, Moreno-Resina J M
Service of General Surgery, Albacete University General Hospital, Albacete, Spain.
Transplant Proc. 2007 Sep;39(7):2267-8. doi: 10.1016/j.transproceed.2007.06.057.
Renal paratransplant hernia constitutes an unusual variant of internal hernia caused by entrapment of bowel through a defect in the peritoneum covering the transplanted kidney. Only three cases have been previously reported. We present three new cases of renal paratransplant hernia. Abdominal pain and vomiting were the main symptoms. Clinical diagnosis of bowel obstruction and paratransplant hernia was reached using abdominal CT scan. All patients underwent an emergency surgical procedure, and one patient needed resection of necrotic bowel. The three patients survived owing to early surgical intervention, and they were discharged asymptomatic. Paratransplant hernia represented 1.1% of our series of transplant patients. Early diagnosis and surgical treatment are esential in transplant patients with bowel obstruction to avoid high morbidity and mortality rates.
肾移植旁疝是一种不常见的内疝变异类型，由肠管通过覆盖移植肾的腹膜缺损处嵌顿所致。此前仅报道过3例。我们现报告3例新的肾移植旁疝病例。腹痛和呕吐是主要症状。通过腹部CT扫描做出肠梗阻和移植旁疝的临床诊断。所有患者均接受了急诊手术，1例患者需要切除坏死肠管。由于早期手术干预，3例患者均存活，且出院时无症状。移植旁疝占我们这组移植患者的1.1%。对于肠梗阻的移植患者，早期诊断和手术治疗对于避免高发病率和死亡率至关重要。
