Related Experiment Video
Updated: Dec 23, 2025
07:11
Surgical Techniques for Catheter Placement and 5/6 Nephrectomy in Murine Models of Peritoneal Dialysis
Published on: July 19, 2018
15.8K
Rare giant inguinal hernia causing end-stage dialysis-dependent renal failure
Jacob Levi1, Karl Chopra2, Mubashar Hussain3
1Accident and Emergency, Homerton University Hospital NHS Foundation Trust, London, UK jacob.levi@nhs.net.
BMJ Case Reports
|April 18, 2020
Summary
A 72-year-old man experienced acute kidney injury due to bladder and bowel incarceration within an inguinal hernia. Surgical repair was necessary, followed by intensive care and dialysis.
Area of Science:
- Urology
- Nephrology
- Surgical Gastroenterology
Background:
- A 72-year-old male presented with symptoms of urinary retention, weight loss, hematuria, and severe acute kidney injury.
- Past medical history was unremarkable except for an inguinal hernia, with no prior hospital admissions.
Observation:
- Physical examination revealed uremia and a painful right-sided hernia.
- Initial investigations suggested obstructive uropathy secondary to bladder cancer, with ultrasound showing bilateral hydronephrosis and a thickened bladder.
Findings:
- A CT scan confirmed an incarcerated inguinal hernia containing both bladder and bowel, with a urinary catheter misplaced within the bladder hernia.
- Surgical intervention involved open mesh repair and rigid cystoscopy to reduce the herniated bladder and bowel.
Implications:
- The patient required intensive care and postoperative dialysis, highlighting the severe consequences of incarcerated hernias involving the urinary tract.
- This case underscores the importance of thorough diagnostic evaluation for incarcerated hernias, especially when presenting with urinary symptoms and acute kidney injury.
Related Concept Videos
01:27Dialysis
1.0K
Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
1.0K
01:28Chronic Kidney Disease III: Interprofessional Care
269
Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
269
01:29Acute Kidney Injury II: Pathophysiology
734
Acute kidney injury (AKI) causes are categorized into three primary categories based on the location of the injury: prerenal, intrarenal (or intrinsic), and postrenal causes. This classification guides clinical management and illustrates how different pathways can impair kidney function.Etiology and Pathophysiology of Acute Kidney Injury1. Prerenal causesEtiology: Prerenal Acute Kidney Injury, the most common type, occurs when reduced blood flow to the kidneys decreases filtration capacity...
734
01:25Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications
350
Peritoneal dialysis (PD) is a medical process that removes waste products and excess fluid from the body using the peritoneal membrane as a natural filter.Peritoneal Dialysis MethodsSeveral methods can be used for peritoneal dialysis, including Acute Intermittent Peritoneal Dialysis, Continuous Ambulatory Peritoneal Dialysis, and Automated Peritoneal Dialysis, also known as Continuous Cyclic Peritoneal Dialysis.Acute Intermittent Peritoneal Dialysis (AIPD) is used for patients with uremic...
350
01:22Acute Kidney Injury I: Introduction
426
Introduction:Acute Kidney Injury (AKI) describes a swift decrease in kidney function occurring over hours to days, characterized by the kidneys' failure to remove waste products from the bloodstream. This leads to dangerous complications like metabolic acidosis, fluid overload, and electrolyte imbalances, such as hyperkalemia, which can cause life-threatening arrhythmias. AKI is common in both hospital and outpatient settings, often triggered by dehydration, sepsis, or exposure to nephrotoxic...
426
01:26Kidney Transplant II: Surgical Procedure
222
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
222