BMJ Case Rep

. 2025 Jan 19;18(1):e261527.

 doi: 10.1136/bcr-2024-261527. https://pubmed.ncbi.nlm.nih.gov/39828290/

Laparoscopic repair of Bochdalek hernia with intrathoracic kidney and concomitant redo-redo incisional hernia

Voranaddha Vacharathit ¹, Padet Tanangterapong ², Kamol Panumatrassamee ³, Sopark Manasnayakorn ⁴

Affiliations Expand

• PMID: 39828290
• DOI: 10.1136/bcr-2024-261527

Abstract

Bochdalek hernias (BHs), though rare, are the most common congenital diaphragmatic hernias. Their coexistence with an ectopic intrathoracic kidney (IK), found in 0.25% of cases, is even rarer. Most IKs function normally; however, other than reported cases of BH-related obstruction, incarceration and strangulation, kidney-specific complications such as infection, obstruction and stone formation can occur. We present a patient presenting with a BH-IK in the setting of a symptomatic, multiply recurrent incisional hernia. Although there is no consensus on the best BH-IK repair technique, we propose that complete reduction and laparoscopic primary repair with mesh reinforcement using an intraperitoneal onlay mesh-plus technique are safe and feasible.

Keywords: Cardiothoracic surgery; Gastrointestinal surgery; General surgery; Surgery; Urological surgery.

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