Incisional hernia: An unusual cause of acute pain and swelling following renal transplant

Abstract

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.

Sonography of the thoracic and abdominal walls

“…9, NOVEMBER/DECEMBER 2004 umbilicus, the inguinal canal, the femoral canal, the linea arcuata, and laparotomy scars ( Figure 14). 26,[56][57][58] A portion of the parietal peritoneum may slide through the tear at any of these points. The peritoneal pouch may be empty or contain fat and/or intestinal loops (Figure 15).…”