Ghielmini E, Julita L, Cerantola Y, Matter M, Zingg T
Department of Visceral Surgery, Lausanne University Hospital, Lausanne, Switzerland.
Department of Urology, Lausanne University Hospital, Lausanne, Switzerland.
Transplant Proc. 2017 Sep;49(7):1593-1595. doi: 10.1016/j.transproceed.2017.04.003.
An 82-year-old man with a history of renal transplantation 14 years earlier presented with acute obstructive renal failure secondary to inguinal herniation of the urinary bladder complicated by ureteroneocystostomy entrapment. After percutaneous nephrostomy tube and endoscopic stent placement, the bladder was reduced and the hernia repaired with the use of a preperitoneal mesh. The postoperative course was uneventful and the renal function returned to normal. Inguinal herniation of the transplant ureter is a rare cause of hydronephrosis, but it has been described in the literature. Bladder hernias do usually not cause urologic complications in the nontransplanted patient, but they can present as an emergency after renal transplantation.
一名82岁男性，14年前有肾移植史，因膀胱腹股沟疝合并输尿管膀胱吻合口受压导致急性梗阻性肾衰竭。在经皮肾造瘘管和内镜支架置入后，将膀胱复位，并用腹膜前补片修补疝。术后过程顺利，肾功能恢复正常。移植输尿管的腹股沟疝是肾积水的罕见原因，但文献中有相关描述。膀胱疝在非移植患者中通常不会引起泌尿系统并发症，但在肾移植后可能会作为紧急情况出现。
