Adult Intra-Thoracic Kidney: A Case Report of Bochdalek Hernia
Introduction. Bochdalek hernia is a congenital posterior lateral diaphragmatic defect that allows abdominal viscera to herniate into the thorax. Intrathoracic kidney is a very rare finding representing less than 5% of all renal ectopias with the least frequency of all renal ectopias. Case Presentati...
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Wiley
2010-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2010/975168 |
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| author | Valeria Fiaschetti Luca Velari Eleonora Gaspari Roberta Mastrangeli Giovanni Simonetti |
| author_facet | Valeria Fiaschetti Luca Velari Eleonora Gaspari Roberta Mastrangeli Giovanni Simonetti |
| author_sort | Valeria Fiaschetti |
| collection | DOAJ |
| description | Introduction. Bochdalek hernia is a congenital posterior lateral diaphragmatic defect that allows abdominal viscera to herniate into the thorax. Intrathoracic kidney is a very rare finding representing less than 5% of all renal ectopias with the least frequency of all renal ectopias. Case Presentation. We report a case of a 62-year-old man who had a left thoracic kidney associated with left Bochdalek hernia. Abdominal X-ray and chest X-ray revealed dilated loops of the colon above left hemidiaphragm. Abdominal ultrasound (US) showed the right kidney with many fluid and esophytic cysts; left kidney was unfeasible to study because of the impossibility to find it. Computed Tomography (CT) basal scan demonstrated a left-sided Bochdalek hernia with dilatated colon loops and the left kidney within the pleural space. Magnetic Resonance (MR) confirmed a defect in left hemidiaphragm with herniation of left kidney, omento, spleen and colon flexure, and intrarotation with posterior hilum on sagittal plane. Conclusion. The association of a Bochdalek hernia and an intrathoracic renal ectopia is very rare, that pose many diagnostic and management dilemmas for clinicians. Our patient has been visualized by CT and MR imaging. A high index of suspicion can result in early diagnosis and prompt intervention with reduced morbidity and mortality. |
| format | Article |
| id | doaj-art-fb633be04db4418eb2cc2af62b5e73c3 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2010-01-01 |
| publisher | Wiley |
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| series | Case Reports in Medicine |
| spelling | doaj-art-fb633be04db4418eb2cc2af62b5e73c32025-02-03T01:32:30ZengWileyCase Reports in Medicine1687-96271687-96352010-01-01201010.1155/2010/975168975168Adult Intra-Thoracic Kidney: A Case Report of Bochdalek HerniaValeria Fiaschetti0Luca Velari1Eleonora Gaspari2Roberta Mastrangeli3Giovanni Simonetti4Department of Diagnostic Imaging, Molecular Imaging, Interventional Radiology and Radiation Therapy, University Hospital, “Tor Vergata”, 81 Oxford street, 00133 Rome, ItalyDepartment of Diagnostic Imaging, Molecular Imaging, Interventional Radiology and Radiation Therapy, University Hospital, “Tor Vergata”, 81 Oxford street, 00133 Rome, ItalyDepartment of Diagnostic Imaging, Molecular Imaging, Interventional Radiology and Radiation Therapy, University Hospital, “Tor Vergata”, 81 Oxford street, 00133 Rome, ItalyDepartment of Diagnostic Imaging, Molecular Imaging, Interventional Radiology and Radiation Therapy, University Hospital, “Tor Vergata”, 81 Oxford street, 00133 Rome, ItalyDepartment of Diagnostic Imaging, Molecular Imaging, Interventional Radiology and Radiation Therapy, University Hospital, “Tor Vergata”, 81 Oxford street, 00133 Rome, ItalyIntroduction. Bochdalek hernia is a congenital posterior lateral diaphragmatic defect that allows abdominal viscera to herniate into the thorax. Intrathoracic kidney is a very rare finding representing less than 5% of all renal ectopias with the least frequency of all renal ectopias. Case Presentation. We report a case of a 62-year-old man who had a left thoracic kidney associated with left Bochdalek hernia. Abdominal X-ray and chest X-ray revealed dilated loops of the colon above left hemidiaphragm. Abdominal ultrasound (US) showed the right kidney with many fluid and esophytic cysts; left kidney was unfeasible to study because of the impossibility to find it. Computed Tomography (CT) basal scan demonstrated a left-sided Bochdalek hernia with dilatated colon loops and the left kidney within the pleural space. Magnetic Resonance (MR) confirmed a defect in left hemidiaphragm with herniation of left kidney, omento, spleen and colon flexure, and intrarotation with posterior hilum on sagittal plane. Conclusion. The association of a Bochdalek hernia and an intrathoracic renal ectopia is very rare, that pose many diagnostic and management dilemmas for clinicians. Our patient has been visualized by CT and MR imaging. A high index of suspicion can result in early diagnosis and prompt intervention with reduced morbidity and mortality.http://dx.doi.org/10.1155/2010/975168 |
| spellingShingle | Valeria Fiaschetti Luca Velari Eleonora Gaspari Roberta Mastrangeli Giovanni Simonetti Adult Intra-Thoracic Kidney: A Case Report of Bochdalek Hernia Case Reports in Medicine |
| title | Adult Intra-Thoracic Kidney: A Case Report of Bochdalek Hernia |
| title_full | Adult Intra-Thoracic Kidney: A Case Report of Bochdalek Hernia |
| title_fullStr | Adult Intra-Thoracic Kidney: A Case Report of Bochdalek Hernia |
| title_full_unstemmed | Adult Intra-Thoracic Kidney: A Case Report of Bochdalek Hernia |
| title_short | Adult Intra-Thoracic Kidney: A Case Report of Bochdalek Hernia |
| title_sort | adult intra thoracic kidney a case report of bochdalek hernia |
| url | http://dx.doi.org/10.1155/2010/975168 |
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