Abstract
The patient was a 52-year-old man who presented with right inguinal swelling and pain. He had undergone kidney transplantation in 2005 and bypass surgery using a vascular prosthesis from the left axillary artery to the bilateral femoral arteries in 2008. The vascular prosthesis had invaded the right inguinal canal ventrally. The transplanted ureter had a hazy appearance on a non-enhanced abdominal CT scan. A Lichtenstein operation was performed under a diagnosis of inguinal hernia. A skin incision with pulling of tissue and subcutaneous fat was devised to avoid exposure of the vascular prosthesis. The inguinal canal and spermatic cord were found to have coalesced. The hernia was diagnosed as a supravesical hernia, class II-1. This case shows that a Lichtenstein operation is a suitable procedure for avoidance of damage to the transplanted ureter in treatment of a transplant-side inguinal hernia in a kidney transplant recipient.
Highlights
The increased frequency of living-donor or brain-dead kidney transplantation has led to observation of rare posttransplant complications, including kidney transplantassociated inguinal hernia
We describe a case in which internal inguinal hernia developed on the transplant side 7 years after living-donor kidney transplantation
It is rare to encounter inguinal hernia developing on the transplant side after kidney transplantation, and this condition has to be treated at institutions certified for kidney transplantation
Summary
The increased frequency of living-donor or brain-dead kidney transplantation has led to observation of rare posttransplant complications, including kidney transplantassociated inguinal hernia. Case presentation The patient was a 52-year-old man with a chief complaint of swelling and pain in the right inguinal region, which he had experienced since February 2012. His medical history included a living-donor kidney transplantation in the right iliac fossa for chronic renal failure in 2005. He had undergone artificial graft bypass surgery from the right axillary artery to the bilateral femoral arteries for treatment of bilateral arteriosclerosis obliterans (ASO) in 2008.
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