Intrathoracic Kidney Research Articles

Images - An obstructed intrathoracic kidney.

Images - An obstructed intrathoracic kidney.

An unusual case of CHARGE syndrome presenting with intrathoracic kidney and right-sided diaphragmatic hernia

An unusual case of CHARGE syndrome presenting with intrathoracic kidney and right-sided diaphragmatic hernia

Intrathoracic kidney: a rare finding in an infrequent syndrome

Intrathoracic kidney: a rare finding in an infrequent syndrome

Right ectopic intrathoracic kidney: Unusual clinical presentation in a young patient affected by scrotal varicocele

Intrathoracic kidney is a partial or complete displacement of the kidney above the hemidiaphragm into the mediastinal compartment of the thorax. It is usually seen as an incidental finding discovered on chest radiograph or abdominal ultrasound. However computed tomography consents the correct detection of intrathoracic masses and defines their shape, size, and extent. We here report a case of ectopic thoracic kidney in a 22-year-old man who had a long history of scrotal discomfort associated with right varicocele. Frequently, this ectopia does not affect renal function and the stretched ureter provides good drainage. In literature, a small number of cases shows that varicocele is a possible mode of presentation of kidney tumors, but this is the first case of varicocele secondary to intrathoracic kidney ectopia.

Ectopic thoracic kidney in a child presenting with recurrent cough

Ectopic thoracic kidney is a rare clinical entity in pediatric patients. It is usually an incidental finding on evaluation of patients with recurrent cough or mediastinal mass. Its clinical course is benign. We are presenting a case of right ectopic intrathoracic kidney diagnosed incidentally on con

Prenatally diagnosed, right-sided congenital diaphragmatic hernia complicated by hepatic pulmonary fusion and intrathoracic kidney

Prenatally diagnosed, right-sided congenital diaphragmatic hernia complicated by hepatic pulmonary fusion and intrathoracic kidney

Mass in Solitary Intrathoracic Kidney Within Bochdalek Hernia

Bochdalek hernia is a congenital defect in the diaphragm posterolaterally that allows abdominal contents to enter the thorax. Herniation and development of an intrathoracic kidney associated with this condition are uncommon, with an incidence less than 0.25%. Intrathoracic kidney is also the rarest form of renal ectopia, consisting of less than 5% of cases. We present a series of images from a case of a 55-year-old female with a right renal mass suspicious for malignancy in a solitary right intrathoracic kidney within Bochdalek hernia, who underwent an open right partial nephrectomy for definitive diagnosis and treatment.

Transabdominal robotic repair of a congenital right diaphragmatic hernia containing an intrathoracic kidney: a case report

Bochdalek diaphragmatic hernia is a rare condition and is typically diagnosed prior to adulthood. Furthermore, right-sided defects are also uncommon due to the location of the liver, but can contain colon, omentum, small bowel, or rarely the kidney. Minimally invasive laparoscopic and thoracoscopic diaphragmatic hernia repairs are associated with improved outcomes when compared to open approaches-recently, robotic-assisted repairs have been performed in children with no morbidity and minimal complications. We report a case of an 80-year-old female who presented with an enlarging right-sided Bochdalek hernia containing an acquired intrathoracic kidney that was repaired using a robotic-assisted laparoscopic transabdominal approach with mesh placement. In this case, the robotic platform's advantages included excellent visualization of the posterolateral defect and efficient suturing during mesh placement. This approach is a viable option for skilled minimally invasive surgeons; however, further studies are warranted to investigate its utility in the management of diaphragmatic hernia repair.

Diagnostic anténatal d’un rein droit thoracique et d’une hernie de coupole diaphragmatique droite : une association de bon pronostic

Ectopic intrathoracic kidney is a rare congenital anomaly, usually asymptomatic. This anomaly is sometimes associated with a diaphragmatic hernia. Few cases of this combination have been described, often in the absence of a prenatal diagnosis. We report on the case of a female newborn infant who was diagnosed with an ectopic intrathoracic right kidney and a diaphragmatic hernia upon 33 weeks of gestation. The patient underwent surgery on the first day of life and the respiratory and renal outcomes were simple. We review the literature and discuss the seemingly good prognosis of this combination.

Ectopic Thoracic Kidney: Case Presentation and Literature Review

Objective: A clinical case of a 67-year-old male incidentally diagnosed with left intrathoracic kidney during the study of abdominal pain. Methods: A literature review about de incidence, origins, clinics and diagnosis of this kind of ectopic kidney was made. Results: A thoracoabdominal CAT scan with contrast revealed an ectopic intrathoracic kidney with a left diaphragmatic hernia. Conclusion: Ectopic intrathoracic kidney is a quite infrequent finding; it is usually asymptomatic, diagnosed incidentally and it generally does not require any treatment.

Silent Tachypnoea in a Neonate: A Rare Presentation of Right Side Bochdalek Hernia with Intrathoracic Kidney

Congenital diaphragmatic hernia (CDH) is a rare condition. The reported incidence of intrathoracic renal ectopia due to CDH is also rare. A right-sided thoracic kidney is much less common due to the location of the liver. Isolated intrathoracic kidney is usually asymptomatic and diagnosed incidentally on chest imaging. The authors report on a 21days old female infant with late-presenting right sided congenital diaphragmatic hernia associated with intrathoracic ectopic kidney and adrenal gland. Prenatal ultrasound showed no pathology. A female baby was investigated for silent tachypnoea, a chest x-ray confirmed the diagnosis of congenital diaphragmatic hernia, the postnatal ultrasound revealed a right-sided kidney herniation. On computed tomography (CT) scan intrathoracic ectopic kidney was diagnosed. CDH is an delivery room emergency. This case had complex anatomy of right side CDH and intrathoracic kidney and presentation was only tachypnoea. Hence we are reporting this case.

Intrathoracic Kidney after Blunt Abdominal Trauma: A Case Report and Review of the Literature.

Abdominal trauma is responsible for most genitourinary injuries. The incidence of renal artery injury and intrathoracic kidney is quite low in patients who present with blunt trauma experiencing damage. There are four defined etiologies for intrathoracic kidney, which include real intrathoracic ectopic kidney, eventration of the diaphragm, congenital diaphragmatic herniation, and traumatic diaphragmatic rupture. The traumatic intrathoracic kidney is an extremely rare case. We presented intrathoracic kidney case after traumatic posterior diaphragmatic rupture.

Right-sided intra-thoracic kidney associated to Bochdalek hernia in an adult patient

Diaphragmatic hernia of Bochdalek (BH) and intra-thoracic kidney (IK) are both rare congenital, developmental anomalies. In some extremly rare occasion, these two congenital anomalies can be associated in the same patient. The kidney typically exits the retroperitoneal space through the foramen of Bochdalek. The majority of IK and BH are discovered incidentally. A conservative approach can be proposed in asymptomatic cases. In this report, the case of a 35-year-old man presenting with 1-week of acute abdominal pain is presented. Chest radiography revealed a posterior mass in the right hemithorax, which was later confirmed by chest computed tomography and magnetic resonance imaging to be a congenital IK associated with a BH.

Ectopic Intrathoracic Kidney with Right-Sided Congenital Diaphragmatic Hernia

Ectopic Intrathoracic Kidney with Right-Sided Congenital Diaphragmatic Hernia

Ectopic intrathoracic kidney: A case report and literature review

Intrathoracic kidney is a rare congenital abnormality with the lowest frequency among all renal ectopias. We report the case of a 20-year-old asymptomatic female patient who came to our institution for an evaluation of an incidentally noted right lung base opacity on a plain chest radiograph. The subsequent computed tomographic scanning led to the diagnosis of thoracic renal ectopia. In this article, we discuss the relevant clinicoradiological findings along with a review of the literature. 胸腔異位腎是罕見先天性異常，在腎臟異位中最為少見。以下案例是一位20歲無症狀的患者，因胸腔X光偶然發現有右肺基部不透性而求診，後來經電腦斷層(CT)掃瞄確定為胸腔異位腎。本文對胸腔異位腎相關的臨床表現、影像學、及文獻作出了回顧。

A rare case of partial diaphragmatic agenesis with thoracic liver herniation and anteriorly displaced intrathoracic kidney in an adult diagnosed by displaced diaphragmatic crus

Diaphragmatic agenesis is a rare anomaly and usually occurs in the early neonatal period. Its exact pathogenesis from the embryologic viewpoint is still unknown. Its presentation in adulthood is extremely rare, with only 7 cases of hemidiaphragmatic agenesis reported in adults. They are usually associated with herniation of abdominal contents and are predominantly left sided. We present a case of right hemidiaphragmatic agenesis with anteriorly displaced crus and intrathoracic herniation of kidney, which is anterior and rotated along the horizontal plane, with herniation of liver and colon. The position of the crus was instrumental in making a diagnosis of diaphragmatic agenesis and for which the patient was operated upon and the defect was repaired.

An Unusual Cause of Mediastinal Mass — A Case Report and Literature Review of Intrathoracic Kidney

Posterior mediastinal mass is not an uncommon condition seen in clinical practice. It often generates anxiety among healthcare providers, as the most common cause of a posterior mediastinal mass is a neurogenic tumour which potentially can be malignant and carries serious consequences. A very rare but generally benign cause of such a mass is an intrathoracic ectopic kidney. Due to its rarity, literature on the intrathoracic kidney, its management, prognosis and complications is sparse and confined to case reports. We report a rare case of a two-month old baby who had a chest x-ray done for a prolonged cough and was found to have a posterior mediastinal mass, which was later diagnosed to be an intrathoracic ectopic kidney. The approach to mediastinal mass and literature review of an intrathoracic ectopic kidney and its complications are also discussed.

The intrathoracic kidney: should we fix it?

BackgroundIntrathoracic kidney is a rare congenital anomaly, with only 13 cases reported in the pediatric age group over the past 25 years. The relevant literature is limited to individual case reports or small case series with no follow-up data. Both operative and nonoperative management has been advocated. We report our experience in the management of children with an intrathoracic kidney as well as the efficacy of nonoperative management in select patients. MethodsFive cases of intrathoracic kidney were collected prospectively since 1992 and carefully followed up long term. ResultsTwo children presented with acute respiratory distress and underwent right diaphragmatic hernia repair and nephropexy. Incidental diagnosis of a left intrathoracic kidney was made in 3 children. Long-term follow-up has demonstrated normal function and development of these kidneys in all 5 children with no late bowel herniation in the nonoperative group. ConclusionIntrathoracic kidney associated with bowel in the chest should undergo standard repair and nephropexy. An isolated intrathoracic kidney without evidence of bowel herniation can safely be observed. This is the largest pediatric series of intrathoracic kidney as well as the first to document the efficacy of nonoperative management with long-term follow-up.

An Elderly Patient with Bochdalek’s Hernia Case that Implies Left-Sided Intratoracic Renal Ectopia

Bochdalek hernia is a congenital disease characterized by protrusion of the abdominal organs into the thorax through the posterior defect in the diaphragma. The detection of incidental bochdalek hernia has increased because of the widespread use of the multidedector computed tomography. It is very rare in adult population. Intrathoracic kidney in bochdalek hernia is uncommon. In this paper, a 78 year-old man who had bochdalek hernia with a kidney in the left side of the thoracic region is presented.

Bochdalek hernia with intrathoracic kidney

Bochdalek hernia is a congenital diaphragmatic defect that allows abdominal viscera to herniate into the thorax. Intrathoracic kidney is a very rare finding representing less than 5% of all renal ectopias. A 20 year old female presented with complaints of dry cough since 15 days and intermittent fever of 4 days duration. As part of routine investigation chest X-ray was done which showed a left retro-cardiac homogenous opacity, rest of the lung field appeared normal. Abdominal ultrasound showed the right kidney to be normal, left kidney was not visualized. Computed tomography scan demonstrated left-sided Bochdalek hernia with the left kidney within the thorax. An IVP was done to confirm the diagnosis. Many a times intrathoracic kidney is confused with a thoracic mass and the patient undergoes a battery of unnecessary investigations, surgical interventions and image guided biopsies for the same, hence to avoid this we are reporting this case.