PMC7128063_01
CT scan demonstrating the incisional hernia containing the transplant kidney on the right side of the abdominal wall.
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CT scan showed the transplant kidney to be 12.7 cm and lying very superficially (Figure 1).
(a) demonstrates the incisional hernia containing the transplant kidney before surgery. (b) shows the partly infarcted kidney after transplant nephrectomy. (c) displays the hilum and vessels secured with 2/0 and 5/0 prolene sutures. (d) illustrates the reconstruction of the abdominal wall defect using biological porcine skin mesh (Strattice ).
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At the time of admission, the patient was pyrexial at 39 C, there was evidence of local erythema and systemic inflammation (Figure 2(a)), and CRP was elevated at 188 mg/L. First, open nephrectomy was performed (Figure 2(b)) by securing the hilum and vessels with 2/0 and 5/0 prolene sutures, respectively (Figure 2(c)). The mesh overlapped surrounding healthy tissue by 3-4 cm and was fixed with interrupted 2/0 prolene sutures over the inguinal ligament inferiorly, the rectus sheath superiorly and medially, and the external oblique aponeurosis and muscle superiorly and laterally (Figure 2(d)).