case_images: PMC7128063_01
case_images: CT scan demonstrating the incisional hernia containing the transplant kidney on the right side of the abdominal wall.
case_images: CRIT2020-5675613.001.jpg
case_images: PMC7128063_01_CRIT2020-5675613.001.jpg
case_images: fig1
case_images: CT scan showed the transplant kidney to be 12.7 cm and lying very superficially (Figure 1).
case_images: (a) demonstrates the incisional hernia containing the transplant kidney before surgery. (b) shows the partly infarcted kidney after transplant nephrectomy. (c) displays the hilum and vessels secured with 2/0 and 5/0 prolene sutures. (d) illustrates the reconstruction of the abdominal wall defect using biological porcine skin mesh (Strattice ).
case_images: CRIT2020-5675613.002.jpg
case_images: PMC7128063_01_CRIT2020-5675613.002.jpg
case_images: fig2
case_images: At the time of admission, the patient was pyrexial at 39 C, there was evidence of local erythema and systemic inflammation (Figure 2(a)), and CRP was elevated at 188 mg/L. First, open nephrectomy was performed (Figure 2(b)) by securing the hilum and vessels with 2/0 and 5/0 prolene sutures, respectively (Figure 2(c)). The mesh overlapped surrounding healthy tissue by 3-4 cm and was fixed with interrupted 2/0 prolene sutures over the inguinal ligament inferiorly, the rectus sheath superiorly and medially, and the external oblique aponeurosis and muscle superiorly and laterally (Figure 2(d)).