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
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