PDF herunterladen
CC BY 4.0 · European J Pediatr Surg Rep. 2020; 08(01): e74-e76
DOI: 10.1055/s-0039-3402741
Case Report

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

Colin Mizzi
1   Department of Paediatric Surgery, Mater Dei Hospital, Msida, Malta
,
David Farrugia
2   Department of Urology, Mater Dei Hospital, Msida, Malta
,
Muhammad S. Choudhry
3   Department of Paediatric Surgery, Chelsea and Westminster Hospital NHS Foundation Trust, London, United Kingdom of Great Britain and Northern Ireland
› Institutsangaben
› Weitere Informationen
   Lizenzen und Reprints

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 - renal ectopia - intrathoracic kidney


Publikationsverlauf

Eingereicht: 01. April 2019

Angenommen: 19. November 2019

Artikel online veröffentlicht:
21. Oktober 2020

© 2020. 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/).

Georg Thieme Verlag KG
Stuttgart · New York

 

  • References

  • 1 Donat SM, Donat PE. Intrathoracic kidney: a case report with a review of the world literature. J Urol 1988; 140 (01) 131-133
    CrossrefPubMedGoogle Scholar
  • 2 Sesia SB, Haecker F-M. Late-presenting diaphragmatic hernia associated with intrathoracic kidney: tachypnoea as unique clinical sign. BMJ Case Rep 2012; 2012: x
    CrossrefPubMedGoogle Scholar
  • 3 Karaoglanoglu N, Turkyilmaz A, Eroglu A, Alici HA. Right-sided Bochdalek hernia with intrathoracic kidney. Pediatr Surg Int 2006; 22 (12) 1029-1031
    CrossrefPubMedGoogle Scholar
  • 4 Xu X, Weidner N. Papillary renal carcinoma arising in an ectopic native kidney and status after renal transplant: a report of a unique case and review of the literature. Case Rep Pathol 2012; 2012: 831403
    PubMedGoogle Scholar
  • 5 Schumpelick V, Steinau G, Schlüper I, Prescher A. Surgical embryology and anatomy of the diaphragm with surgical applications. Surg Clin North Am 2000; 80 (01) 213-239 , xi xi.
    CrossrefPubMedGoogle Scholar
  • 6 Chow JS, Benson CB, Lebowitz RL. The clinical significance of an empty renal fossa on prenatal sonography. J Ultrasound Med 2005; 24 (08) 1049-1054 , quiz 1055–1057
    CrossrefPubMedGoogle Scholar
  • 7 Angulo JC, Lopez JI, Vilanova JR, Flores N. Intrathoracic kidney and vertebral fusion: a model of combined misdevelopment. J Urol 1992; 147 (05) 1351-1353
    CrossrefPubMedGoogle Scholar
  • 8 Kayıran PG, Gumus T, Kayıran SM, Bilge I, Gurakan B. Ectopic intrathoracic kidney with right-sided congenital diaphragmatic hernia. J Pediatr 2013; 163 (04) 1226-1226.e1
    CrossrefPubMedGoogle Scholar
  • 9 Davis CM, Rao MV, Flanigan RC, Quek ML. Renal cell carcinoma in two patients with crossed fused ectopic kidneys. Urol Int 2008; 81 (03) 370-372
    CrossrefPubMedGoogle Scholar
  • 10 Grotas AB, Phillips JL. Renal mass in solitary, crossed, ectopic pelvic kidney. Urology 2009; 73 (06) 1223-1224
    CrossrefPubMedGoogle Scholar
  • 11 Romero FR, Chan DY, Muntener M, Bagga HS, Brito FAR, Kavoussi LR. Laparoscopic heminephrectomy for renal cell carcinoma in cross-fused ectopic kidney. Urology 2007; 69 (04) 779.e11-779.e13
    CrossrefPubMedGoogle Scholar
  • 12 Liem NT, Nhat LQ, Tuan TM, Dung A, Ung NQ, Dien TM. Thoracoscopic repair for congenital diaphragmatic hernia: experience with 139 cases. J Laparoendosc Adv Surg Tech A 2011; 21 (03) 267-270
    CrossrefPubMedGoogle Scholar
  • 13 Basoglu T, Canbaz F, Bernay I, Sahin M. Technetium-99m-DTPA images of a renal cell carcinoma arising in a crossed-ectopic fused kidney. J Nucl Med 1998; 39 (06) 9A , 949
    PubMedGoogle Scholar
  • 14 Coşkun F, Cetinkaya M, Cengiz O, Adsan O, Kulaçoğlu S, Eroğlu A. Metastatic carcinoma of the gallbladder due to renal cell carcinoma in the ectopic kidney. Acta Chir Belg 1995; 95 (01) 56-58
    PubMedGoogle Scholar
  • 15 Stimac G, Dimanovski J, Ruzic B, Spajic B, Kraus O. Tumors in kidney fusion anomalies--report of five cases and review of the literature. Scand J Urol Nephrol 2004; 38 (06) 485-489
    CrossrefPubMedGoogle Scholar
  • 16 Terrone C, Destefanis P, Fiori C, Savio D, Fontana D. Renal cell cancer in presacral ectopic kidney: preoperative diagnostic imaging compared to surgical findings. Urol Int 2004; 72 (02) 174-175
    CrossrefPubMedGoogle Scholar