Watch that ureter: Can an inguinal hernia become a ureteric sink hole in renal transplant patients - A Case Report

This case is of a 63-year-old male with a history of renal transplant for IgA nephropathy (June 1, 2009) who presented to the renal unit with an acute kidney injury related to an unusual complication – an indirect ipsilateral inguinal hernia causing obstructive hydroureteronephrosis of the transplanted kidney. Successful open surgical repair resolved the obstruction and restored renal function. This is a case demonstrating the importance of timely intervention in high-risk hernias while balancing the need for specialist input in complicated cases.