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- Title
Congenital intrathoracic kidney with right Bochdalek defect.
- Authors
Obatake, Masayuki; Nakata, Tetsuo; Nomura, Masahito; Nanashima, Atsushi; Inamura, Yukio; Tanaka, Kenji; Nagayasu, Takeshi
- Abstract
Intrathoracic kidney is a rare congenital anomaly. Since most reported cases are asymptomatic, it is extremely rare for this ectopia to be diagnosed in the neonatal period. We report a male infant with right intrathoracic kidney associated with Bochdalek defect. Chest X-ray demonstrated a right posterior mediastinal mass and intestinal gas in the right lung field. Contrast-enhanced CT and intravenous urography led to a diagnosis of intrathoracic kidney. Due to the presence of Bochdalek defect, the intrathoracic kidney was reduced into the abdominal cavity at the time of diaphragmatic repair. The intrathoracic kidney with attached adrenal gland was located at the level of the carina and was covered with protruded retroperitoneum. The kidney was thought to have been pushed this high by the small intestine and left lobe of the liver, which had also herniated through the defect. Postoperative hemodynamics and renal function were normal.
- Subjects
KIDNEY abnormalities; KIDNEY displacement; CLOACAL exstrophy; HUMAN abnormalities; GENETIC disorders in pregnancy; ECTOPIC pregnancy; ABDOMINAL diseases
- Publication
Pediatric Surgery International, 2006, Vol 22, Issue 10, p861
- ISSN
0179-0358
- Publication type
journal article
- DOI
10.1007/s00383-006-1772-y