European J Pediatr Surg Rep

. 2020 Jan;8(1):e74-e76. doi: 10.1055/s-0039-3402741. Epub 2020 Oct 21. https://pubmed.ncbi.nlm.nih.gov/33101834/

Congenital Diaphragmatic Hernia with Intrathoracic Renal Ectopia: Thoracoscopic Approach for a Complete Anatomical Repair

Colin Mizzi ¹, David Farrugia ², Muhammad S Choudhry ³Affiliations expand

• PMID: 33101834
• PMCID: PMC7577787
• DOI: 10.1055/s-0039-3402741

Free PMC article

Abstract

Congenital diaphragmatic herniae (CDH) with associated intrathoracic ectopic kidneys are rare congenital anomalies, with a reported incidence of only 0.25%. The authors report a case of a 24-day-old baby girl who was diagnosed with a left-sided CDH on a chest X-ray taken for pneumonia. Computed tomography scan showed CDH hernia, containing small and large bowel and whole left kidney with adrenal gland. Thoracoscopic reduction in the bowel, kidney, and adrenal gland into the abdomen and primary closure of the defect was achieved with no complications. During investigation of the child, it was discovered that her maternal aunt had also had a left-sided congenital diaphragmatic hernia containing the kidney, which was treated via open surgery after birth; she subsequently developed renal cell carcinoma and required radical nephrectomy of that kidney during her third decade.

Keywords: diaphragmatic hernia; intrathoracic kidney; renal ectopia.

The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. ( https://creativecommons.org/licenses/by/4.0/ ).