Right Diaphragmatic Eventration with an Intrathoracic Kidney: Case Report and Review of the Literature

We aimed to review the publications on the diagnosis of diaphragmatic eventration and report on the clinical presentation and surgical treatment of a female patient aged 17 years. The present case, though quite infrequent, shows the presence of an ectopic thoracic kidney on the right side. The clini...

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Main Authors: Anibal Carrasco, Ricardo Castro
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2018/2631391
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author Anibal Carrasco
Ricardo Castro
author_facet Anibal Carrasco
Ricardo Castro
author_sort Anibal Carrasco
collection DOAJ
description We aimed to review the publications on the diagnosis of diaphragmatic eventration and report on the clinical presentation and surgical treatment of a female patient aged 17 years. The present case, though quite infrequent, shows the presence of an ectopic thoracic kidney on the right side. The clinical features included dry cough, chest pain, respiratory distress, and bronchial spasms for 4 years; additionally, the patient had episodes of bronchial asthma since her childhood. The right hemithorax presented invasion of the thin loops, right colon, and kidney. The treatment approach was laparoscopic followed by thoracotomy using a dual mesh. The intrathoracic kidney remained in place. The outcome was satisfactory. Diaphragmatic eventration associated with thoracic renal ectopia is a very rare entity, considering the age, sex, and right location of the condition. It represents a clinical and diagnostic challenge; clinicians, radiologists, and surgeons must be alert with a high degree of suspicion in order to correlate symptoms and imaging findings and understand the etiopathogenesis. In addition, they should plan an adequate and individualized surgical repair making use, as far as possible, of the minimally invasive procedures that are currently used.
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spelling doaj-art-d6e9fd90032348ab8caba63d0c400afd2025-02-03T01:07:54ZengWileyCase Reports in Surgery2090-69002090-69192018-01-01201810.1155/2018/26313912631391Right Diaphragmatic Eventration with an Intrathoracic Kidney: Case Report and Review of the LiteratureAnibal Carrasco0Ricardo Castro1Department of General Surgery, Jorge Reategui Delgado Hospital, Av. Grau block 11 s/n, Piura, PeruDepartment of General Surgery, Jorge Reategui Delgado Hospital, Av. Grau block 11 s/n, Piura, PeruWe aimed to review the publications on the diagnosis of diaphragmatic eventration and report on the clinical presentation and surgical treatment of a female patient aged 17 years. The present case, though quite infrequent, shows the presence of an ectopic thoracic kidney on the right side. The clinical features included dry cough, chest pain, respiratory distress, and bronchial spasms for 4 years; additionally, the patient had episodes of bronchial asthma since her childhood. The right hemithorax presented invasion of the thin loops, right colon, and kidney. The treatment approach was laparoscopic followed by thoracotomy using a dual mesh. The intrathoracic kidney remained in place. The outcome was satisfactory. Diaphragmatic eventration associated with thoracic renal ectopia is a very rare entity, considering the age, sex, and right location of the condition. It represents a clinical and diagnostic challenge; clinicians, radiologists, and surgeons must be alert with a high degree of suspicion in order to correlate symptoms and imaging findings and understand the etiopathogenesis. In addition, they should plan an adequate and individualized surgical repair making use, as far as possible, of the minimally invasive procedures that are currently used.http://dx.doi.org/10.1155/2018/2631391
spellingShingle Anibal Carrasco
Ricardo Castro
Right Diaphragmatic Eventration with an Intrathoracic Kidney: Case Report and Review of the Literature
Case Reports in Surgery
title Right Diaphragmatic Eventration with an Intrathoracic Kidney: Case Report and Review of the Literature
title_full Right Diaphragmatic Eventration with an Intrathoracic Kidney: Case Report and Review of the Literature
title_fullStr Right Diaphragmatic Eventration with an Intrathoracic Kidney: Case Report and Review of the Literature
title_full_unstemmed Right Diaphragmatic Eventration with an Intrathoracic Kidney: Case Report and Review of the Literature
title_short Right Diaphragmatic Eventration with an Intrathoracic Kidney: Case Report and Review of the Literature
title_sort right diaphragmatic eventration with an intrathoracic kidney case report and review of the literature
url http://dx.doi.org/10.1155/2018/2631391
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