Asian J Endosc Surg

. 2023 Jun 6.

 doi: 10.1111/ases.13214. Online ahead of print. https://pubmed.ncbi.nlm.nih.gov/37280728/

Thoracoscopic repair for late-presenting congenital diaphragmatic hernia with thoracic kidney in a child

Masahiro Fukuhara ^1 2, Yushi Kaisyakuji ², Tomoe Sato ², Tomoko Izaki ²

Affiliations expand

• PMID: 37280728
• DOI: 10.1111/ases.13214

Abstract

Congenital diaphragmatic hernia (CDH) with a hernia sac and thoracic kidney is a very rare congenital anomaly. Recently, the usefulness of endoscopic surgery for CDH has been reported. We herein report a patient who underwent thoracoscopic repair of CDH with a hernia sac and thoracic kidney. A 7-year-old boy was referred to our hospital due to a diagnosis of CDH without clinical symptoms. Computed tomography showed herniation of the intestine into the left thorax and left-sided thoracic kidney. The key points of operation are resection of the hernia sac and identification of the suturable diaphragm under the presence of the thoracic kidney. In the present case, after repositioning the kidney to the subdiaphragmatic area completely, the border of the diaphragmatic rim was clearly visualized. Good visibility allowed resection of the hernia sac without damaging the phrenic nerve and closure of the diaphragmatic defect.

Keywords: congenital diaphragmatic hernia; kidney; thoracoscopic surgery.

© 2023 Asia Endosurgery Task Force and Japan Society of Endoscopic Surgery and John Wiley & Sons Australia, Ltd.