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Incisional hernia: An unusual cause of acute pain and swelling following renal transplant
Author(s) -
Harries Simon R.,
Farmer Kim D.,
Gellett Laura R.,
Dubbins Paul A.
Publication year - 2000
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/(sici)1097-0096(200005)28:4<187::aid-jcu6>3.0.co;2-#
Subject(s) - medicine , renal transplant , surgery , hernia , incisional hernia , general surgery , transplantation
We present a case in which a strangulated incisional hernia following a renal transplant was sonographically diagnosed. The patient presented with acute pain and swelling over the transplant site 6 weeks after surgery. Sonograms showed a normal‐sized kidney with normal echotexture, no evidence of hydronephrosis, and no perinephric collections. Color Doppler sonography and spectral analysis demonstrated normal blood flow throughout the kidney. Sonograms showed that the palpable mass was a dilated loop of fluid‐filled small bowel. Sonography allowed the correct diagnosis to be established, and early surgical intervention allowed revascularization of viable bowel. © 2000 John Wiley & Sons, Inc. J Clin Ultrasound 28:187–189, 2000.