Obstructive uropathy secondary to ureteral herniation in a pediatric en bloc renal graft.

Ureteral herniation is a rare entity. We report the first case of extraperitoneal ureteral herniation in a pediatric en bloc renal graft causing obstructive uropathy. A 70-year-old, obese patient with an en bloc renal transplant was found to have ureterohydronephrosis in the right renal graft on mag...

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Autores: Salinas Sánchez, Antonio Santiago, Cifuentes Tebar, Jesús, Segura Martín, Miguel, Giménez Bachs, José Miguel, Donate Moreno, María José, Pastor Navarro, Héctor, Virseda Rodríguez, Julio A.
Tipo de recurso: artículo
Fecha de publicación:2005
País:España
Institución:Universidad de Castilla-La Mancha
Repositorio:RUIdeRA. Repositorio Institucional de la UCLM
OAI Identifier:oai:ruidera.uclm.es:10578/34243
Acceso en línea:https://hdl.handle.net/10578/34243
Access Level:acceso abierto
Palabra clave:Complications
Obstructive uropathy
Renal transplant
Ureteral hernia
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spelling Obstructive uropathy secondary to ureteral herniation in a pediatric en bloc renal graft.Salinas Sánchez, Antonio SantiagoCifuentes Tebar, JesúsSegura Martín, MiguelGiménez Bachs, José MiguelDonate Moreno, María JoséPastor Navarro, HéctorVirseda Rodríguez, Julio A.ComplicationsObstructive uropathyRenal transplantUreteral herniaUreteral herniation is a rare entity. We report the first case of extraperitoneal ureteral herniation in a pediatric en bloc renal graft causing obstructive uropathy. A 70-year-old, obese patient with an en bloc renal transplant was found to have ureterohydronephrosis in the right renal graft on magnetic resonance imaging. Nephrostomy with insertion of a double-J catheter confirmed the presence of a ureteral loop within the inguinal tract. Surgery confirmed herniation of the ureter through the internal inguinal ring, crossing over the spermatic cord. We performed release, resection, ureteral reimplantation and hernioplasty. Four months later, renal function was normal and urinary tract dilation had diminished. This case illustrates an unusual cause of obstructive uropathy in a transplanted kidney. Apart from obesity, two other factors may have contributed to its development: presence of a redundant ureter, and the fact that the ureter had been placed over, rather than under, the spermatic cordElsevier202420242005info:eu-repo/semantics/articleapplication/pdfapplication/pdfhttps://hdl.handle.net/10578/34243reponame:RUIdeRA. Repositorio Institucional de la UCLMinstname:Universidad de Castilla-La ManchaInglésinfo:eu-repo/semantics/openAccessoai:ruidera.uclm.es:10578/342432026-05-27T07:36:41Z
dc.title.none.fl_str_mv Obstructive uropathy secondary to ureteral herniation in a pediatric en bloc renal graft.
title Obstructive uropathy secondary to ureteral herniation in a pediatric en bloc renal graft.
spellingShingle Obstructive uropathy secondary to ureteral herniation in a pediatric en bloc renal graft.
Salinas Sánchez, Antonio Santiago
Complications
Obstructive uropathy
Renal transplant
Ureteral hernia
title_short Obstructive uropathy secondary to ureteral herniation in a pediatric en bloc renal graft.
title_full Obstructive uropathy secondary to ureteral herniation in a pediatric en bloc renal graft.
title_fullStr Obstructive uropathy secondary to ureteral herniation in a pediatric en bloc renal graft.
title_full_unstemmed Obstructive uropathy secondary to ureteral herniation in a pediatric en bloc renal graft.
title_sort Obstructive uropathy secondary to ureteral herniation in a pediatric en bloc renal graft.
dc.creator.none.fl_str_mv Salinas Sánchez, Antonio Santiago
Cifuentes Tebar, Jesús
Segura Martín, Miguel
Giménez Bachs, José Miguel
Donate Moreno, María José
Pastor Navarro, Héctor
Virseda Rodríguez, Julio A.
author Salinas Sánchez, Antonio Santiago
author_facet Salinas Sánchez, Antonio Santiago
Cifuentes Tebar, Jesús
Segura Martín, Miguel
Giménez Bachs, José Miguel
Donate Moreno, María José
Pastor Navarro, Héctor
Virseda Rodríguez, Julio A.
author_role author
author2 Cifuentes Tebar, Jesús
Segura Martín, Miguel
Giménez Bachs, José Miguel
Donate Moreno, María José
Pastor Navarro, Héctor
Virseda Rodríguez, Julio A.
author2_role author
author
author
author
author
author
dc.subject.none.fl_str_mv Complications
Obstructive uropathy
Renal transplant
Ureteral hernia
topic Complications
Obstructive uropathy
Renal transplant
Ureteral hernia
description Ureteral herniation is a rare entity. We report the first case of extraperitoneal ureteral herniation in a pediatric en bloc renal graft causing obstructive uropathy. A 70-year-old, obese patient with an en bloc renal transplant was found to have ureterohydronephrosis in the right renal graft on magnetic resonance imaging. Nephrostomy with insertion of a double-J catheter confirmed the presence of a ureteral loop within the inguinal tract. Surgery confirmed herniation of the ureter through the internal inguinal ring, crossing over the spermatic cord. We performed release, resection, ureteral reimplantation and hernioplasty. Four months later, renal function was normal and urinary tract dilation had diminished. This case illustrates an unusual cause of obstructive uropathy in a transplanted kidney. Apart from obesity, two other factors may have contributed to its development: presence of a redundant ureter, and the fact that the ureter had been placed over, rather than under, the spermatic cord
publishDate 2005
dc.date.none.fl_str_mv 2005
2024
2024
dc.type.none.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/10578/34243
url https://hdl.handle.net/10578/34243
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:RUIdeRA. Repositorio Institucional de la UCLM
instname:Universidad de Castilla-La Mancha
instname_str Universidad de Castilla-La Mancha
reponame_str RUIdeRA. Repositorio Institucional de la UCLM
collection RUIdeRA. Repositorio Institucional de la UCLM
repository.name.fl_str_mv
repository.mail.fl_str_mv
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