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Journal of General and Emergency Medicine

Aabstract


Case Report

Congential Diaphrgmatic Hernia With Intrathoracic Kidney In a 2-year-old Child

Mahdi Ben Dhaou, Mohammed Zouari, Salma Ben Ameur, Hayet Zitoumi, Mihamed Jalloul, Monjia Hachida and Riadh Mhiti

Correspondence Address :

Mohamed Zouari
Hedi Chaker Hospital
3029 Sfax
Tunisia
Tel: 0021697459586
Email: zouarimohamed.1982@yahoo.fr

Received on: November 15, 2016, Accepted on: November 23, 2016, Published on: November 30, 2016

Citation: Mahdi Ben Dhaou, Mohammed Zouari, Salma Ben Ameur, et al. (2016). Congential Diaphrgmatic Hernia With Intrathoracic Kidney In a 2-year-old Child

Copyright: 2016 Mohamed Zouari, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

  • Abstract

Abstract
Intrathoracic renal ectopia is the rarest developmental anomaly among all ectopic kidneys with a prevalence of less than 0.01%. Intrathoracic renal ectopia associated with a congenital diaphragmatic hernia represents an extremely rare congenital malformation. In this paper we report a 2-year-old female infant with late-presenting congenital diaphragmatic hernia associated with a right-sided intrathoracic ectopic kidney. After recurrent episodes of dyspnea, a chest x-ray showed air-filled loops of the bowel in the right hemithorax and a paucity of gas in the abdomen. Computed tomography scann demonstrated right-sided Bochdalek hernia with the right kidney within the thorax. Surgery was performed via a thoracoscopic approach. The postoperative course was uneventful. Clinicians should maintain a high index of suspicion for this rare malformation even beyond the neonatal period to avoid delay in diagnosis and inappropriate management.
Keywords: Intrathoracic renal ectopia, Kidney, Congenital diaphragmatic hernia, Children