PMC4430182_01
Ultrasound demonstrating hydronephrosis of the proximal transplant ureter.
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A consult was placed to the transplant surgery team on post-operative day four after aortic valve exploration and repair of a paravalvular prosthetic aortic valve leak, when the patient was found to have a rising creatinine level, a right groin hernia, and severe hydronephrosis seen on ultrasound (Fig. 1).
Axial view of CT scan of the pelvis demonstrating transplanted ureter in the right femoral hernia.
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A contrasted CT showed an incarcerated femoral hernia with a distended allograft ureter in the femoral canal. (Figs. 2 and 3) The patient was taken to the operating room for repair of incarcerated femoral hernia.
Coronal view of the abdomen and pelvis CT demonstrating transplant kidney in the right lower quadrant and transplant kidney ureter in the femoral hernia. This image also demonstrates hydronephrosis and mesenteric stranding indicating incarceration of the transplanted kidney ureter.
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A contrasted CT showed an incarcerated femoral hernia with a distended allograft ureter in the femoral canal. (Figs. 2 and 3) The patient was taken to the operating room for repair of incarcerated femoral hernia.
Intraoperative photo of the transplanted ureter removed from the femoral hernia sac, with demonstration of hydronephrosis and hyperemia of the ureter.
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This contained a dilated ureter that was ischemic and non-viable. (Figs. 4 and 5).
Intraoperative photo of the transplanted ureter removed from the femoral hernia sac, with demonstration of hydronephrosis and hyperemia of the ureter.
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This contained a dilated ureter that was ischemic and non-viable. (Figs. 4 and 5).