Femoral herniation of transplanted ureter after deceased-donor kidney transplantation.

•Femoral herniation of transplanted ureter is a rare occurrence and has not been documented in the literature to date.•Such patients may present with transplant kidney failure due to obstructive uropathy.•Diagnosis includes physical exam, transplant kidney ultrasound or CT of abdomen and pelvis.•Treatment should include urgent repair of hernia to salvage the transplant ureter and kidney.