Abstract
A renal paratransplant hernia is an unusual and potentially serious variant of an internal hernia. It is caused by entrapment of bowel through a defect in the peritoneum adjacent to the transplanted kidney. Abdominal pain and vomiting with or without distention are the main symptoms. Prompt diagnosis and early surgical intervention are critical to prevent serious morbidity and even mortality. Historically, renal paratransplant hernias were repaired via an exploratory laparotomy. We present our experience in two patients with renal paratransplant hernia who were treated with laparoscopic repair.
Highlights
Kyriakides et al first reported a paratransplant hernia associated with kidney transplant as an entrapment of bowel through a defect in peritoneum overlying the transplanted kidney [1]
There have been nine cases of renal paratransplant hernias reported in the Pubmed literature
We report our experience with 2 cases of renal paratransplant hernias
Summary
Kyriakides et al first reported a paratransplant hernia associated with kidney transplant as an entrapment of bowel through a defect in peritoneum overlying the transplanted kidney [1]. There have been nine cases of renal paratransplant hernias reported in the Pubmed literature. All of these cases were treated with exploratory laparotomy. Three cases required bowel resection and one case resulted in death [2]. We report our experience with 2 cases of renal paratransplant hernias. Both cases were successfully managed laparoscopically thereby avoiding the morbidity associated with exploratory laparotomy. The defect involved peritoneum and an abdominal fascia layer
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