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Case Reports in Transplantation
Volume 2016, Article ID 4730494, 3 pages
http://dx.doi.org/10.1155/2016/4730494
Case Report

Different Management Options for Transplant Ureteral Obstructions within an Inguinal Hernia

1Department of Urology, Stony Brook University Medical Center, Stony Brook, NY 11794, USA
2Department of Surgery, Stony Brook University Medical Center, Stony Brook, NY 11794, USA
3Department of Transplant, Stony Brook University Medical Center, Stony Brook, NY 11794, USA
4Division of Nephrology, Stony Brook University Medical Center, Stony Brook, NY 11794, USA

Received 31 December 2015; Accepted 24 March 2016

Academic Editor: Marian Klinger

Copyright © 2016 Felix Cheung et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Ureteral obstruction secondary to an inguinal hernia with transplant ureteral component is an extremely rare entity with only several case reports found in literature. In all previously reported cases, management of the obstruction involved temporary drainage with ureteral stenting or nephrostomy tube placements followed by delayed definitive repair. We present two case reports, here one being the first one managed by immediate definitive repair via ureteral reimplant and herniorrhaphy and a second case by delayed definitive repair after percutaneous nephrostomy tube placement. Both patients continued to do well postoperatively with normalization of renal function on follow-up.