Renal Paratransplant Hernia: A Rare Complication of Renal Transplantation
Renal paratransplant hernia (RPH) is a rare type of internal hernia. There may be a delay in diagnosis due to an ambiguous clinical picture, which leads to significant morbidity. Management using an open surgical approach adds to the morbidity. We report a case of obstructed RPH which was treated pr...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2025-04-01
|
| Series: | Indian Journal of Transplantation |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/ijot.ijot_130_24 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850083150900756480 |
|---|---|
| author | Kunal Vinayak Abhinandan Mukhopadhyay Shivam Mishra Varun Mittal |
| author_facet | Kunal Vinayak Abhinandan Mukhopadhyay Shivam Mishra Varun Mittal |
| author_sort | Kunal Vinayak |
| collection | DOAJ |
| description | Renal paratransplant hernia (RPH) is a rare type of internal hernia. There may be a delay in diagnosis due to an ambiguous clinical picture, which leads to significant morbidity. Management using an open surgical approach adds to the morbidity. We report a case of obstructed RPH which was treated promptly with minimally invasive technique. We aim to create clinical awareness about this rare diagnosis of common postoperative symptoms. A 56-year-old gentleman presented to us 1 month after kidney transplant with features of small bowel obstruction. Medical management was unsuccessful. Imaging showed herniation of the ileal loop into the abdominal wall with obstruction. A herniated small bowel loop in the retroperitoneal space through a peritoneal defect was seen. The loop was reduced laparoscopically and the peritoneal defect was not closed but simply incised and widened. Possible mechanisms of RPH formation are either iatrogenic defects of the peritoneum or spontaneous intraperitoneal rupture of lymphoceles. Due to immunosuppression, peritoneal signs may get masked hence the threshold for thoroughly investigating patients should be low. Minimally invasive techniques should be offered to these patients if there are no obvious contraindications. |
| format | Article |
| id | doaj-art-e94331c92cc64d0680c4ffddb62a9662 |
| institution | DOAJ |
| issn | 2212-0017 2212-0025 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Transplantation |
| spelling | doaj-art-e94331c92cc64d0680c4ffddb62a96622025-08-20T02:44:20ZengWolters Kluwer Medknow PublicationsIndian Journal of Transplantation2212-00172212-00252025-04-0119225926110.4103/ijot.ijot_130_24Renal Paratransplant Hernia: A Rare Complication of Renal TransplantationKunal VinayakAbhinandan MukhopadhyayShivam MishraVarun MittalRenal paratransplant hernia (RPH) is a rare type of internal hernia. There may be a delay in diagnosis due to an ambiguous clinical picture, which leads to significant morbidity. Management using an open surgical approach adds to the morbidity. We report a case of obstructed RPH which was treated promptly with minimally invasive technique. We aim to create clinical awareness about this rare diagnosis of common postoperative symptoms. A 56-year-old gentleman presented to us 1 month after kidney transplant with features of small bowel obstruction. Medical management was unsuccessful. Imaging showed herniation of the ileal loop into the abdominal wall with obstruction. A herniated small bowel loop in the retroperitoneal space through a peritoneal defect was seen. The loop was reduced laparoscopically and the peritoneal defect was not closed but simply incised and widened. Possible mechanisms of RPH formation are either iatrogenic defects of the peritoneum or spontaneous intraperitoneal rupture of lymphoceles. Due to immunosuppression, peritoneal signs may get masked hence the threshold for thoroughly investigating patients should be low. Minimally invasive techniques should be offered to these patients if there are no obvious contraindications.https://journals.lww.com/10.4103/ijot.ijot_130_24complications of renal transplantinternal herniaparatransplant herniarenal paratransplant hernia |
| spellingShingle | Kunal Vinayak Abhinandan Mukhopadhyay Shivam Mishra Varun Mittal Renal Paratransplant Hernia: A Rare Complication of Renal Transplantation Indian Journal of Transplantation complications of renal transplant internal hernia paratransplant hernia renal paratransplant hernia |
| title | Renal Paratransplant Hernia: A Rare Complication of Renal Transplantation |
| title_full | Renal Paratransplant Hernia: A Rare Complication of Renal Transplantation |
| title_fullStr | Renal Paratransplant Hernia: A Rare Complication of Renal Transplantation |
| title_full_unstemmed | Renal Paratransplant Hernia: A Rare Complication of Renal Transplantation |
| title_short | Renal Paratransplant Hernia: A Rare Complication of Renal Transplantation |
| title_sort | renal paratransplant hernia a rare complication of renal transplantation |
| topic | complications of renal transplant internal hernia paratransplant hernia renal paratransplant hernia |
| url | https://journals.lww.com/10.4103/ijot.ijot_130_24 |
| work_keys_str_mv | AT kunalvinayak renalparatransplantherniaararecomplicationofrenaltransplantation AT abhinandanmukhopadhyay renalparatransplantherniaararecomplicationofrenaltransplantation AT shivammishra renalparatransplantherniaararecomplicationofrenaltransplantation AT varunmittal renalparatransplantherniaararecomplicationofrenaltransplantation |