A Renal Paratransplant Hernia Causing Complete Small Bowel Obstruction: A Case Report and Review of the Literature.

Details

Serval ID
serval:BIB_2194B720995A
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
A Renal Paratransplant Hernia Causing Complete Small Bowel Obstruction: A Case Report and Review of the Literature.
Journal
Transplantation proceedings
Author(s)
Zingg T., Teixeira Farinha H., Demartines N., Pascual M., Matter M.
ISSN
1873-2623 (Electronic)
ISSN-L
0041-1345
Publication state
Published
Issued date
2017
Peer-reviewed
Oui
Volume
49
Number
1
Pages
210-212
Language
english
Notes
Publication types: Case Reports ; Journal Article ; Review
Publication Status: ppublish
Abstract
A rare type of acquired internal hernia, the renal paratransplant hernia (RPTH), of which only 11 cases have been reported in the literature so far, can follow renal transplantation. We report a patient who presented with acute abdominal pain and vomiting 6 weeks after renal transplantation in the right iliac fossa. A noncontrast abdominal computed tomography scan showed signs of small bowel obstruction. The patient was taken to the operating room for a midline laparotomy, and RPTH with incarcerated small bowel was diagnosed. The bowel loop was released and found to be viable. The postoperative course was unremarkable. It is unclear whether perioperative peritoneal defects or spontaneous ruptures of lymphoceles into the peritoneal cavity form the basis of this rare type of internal hernia. Surgeons should be aware of this entity and avoid both peritoneal defects and postoperative lymphoceles by paying careful attention to meticulous surgical technique.

Keywords
Adult, Female, Hernia, Abdominal/etiology, Humans, Intestinal Obstruction/etiology, Intestine, Small, Kidney Transplantation/adverse effects, Postoperative Complications/etiology
Pubmed
Create date
30/01/2017 20:23
Last modification date
20/08/2019 13:58
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