Arch Gynecol Obstet

. 2024 Mar 9.

 doi: 10.1007/s00404-024-07449-7. Online ahead of print. https://pubmed.ncbi.nlm.nih.gov/38459998/

Prenatal diagnosis of intrathoracic kidney and adrenal gland in left-sided congenital diaphragmatic hernia

Tian Tian ^1 2, Huizhu Chen ^3 2, Jing Tang ⁴, Hong Luo ^5 6

Affiliations expand

• PMID: 38459998
• DOI: 10.1007/s00404-024-07449-7

Abstract

A 29-year-old primigravida at 31 weeks of gestation was referred for intrathoracic kidney (ITK). Ultrasound revealed left kidney intrathoracic placement with an anteriorly positioned ectopic adrenal gland. Magnetic resonance imaging confirmed diaphragmatic interruption and colon herniation. A female neonate, delivered at 37 weeks, underwent successful thoracoscopic repair for a left Bochdalek hernia. Despite compression of the left lung, notably optimistic lung-to-head ratio (LHR) values were observed, correlating with favorable outcomes. This case underscores the rare occurrence of ITK, its association with Bochdalek hernia, and the importance of comprehensive prenatal evaluations.

Keywords: Bochdalek hernia; Ectopic adrenal gland; Intrathoracic kidney; Prenatal diagnosis.

© 2024. The Author(s).