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Intrathoracic kidney presented with chest pain
Abbas Fadaii1, Somaye Rezaian, Farshad Tojari
1Department of Internal Medicine, Shahid Labbafinejad Medical Center, Shahid Beheshti University (MC) and Azad University of Tehran, Tehran, Iran. abassfadaii@yahoo.com
Iranian Journal of Kidney Diseases
|April 21, 2009
Summary
Intrathoracic kidney is a rare congenital anomaly, accounting for less than 5% of ectopic kidney disorders. Early diagnosis via chest CT is crucial for differentiating it from posterior mediastinal masses, avoiding unnecessary interventions.
Area of Science:
- Medical Imaging
- Radiology
- Congenital Anomalies
Background:
- Intrathoracic kidney is a rare congenital anomaly.
- It represents less than 5% of all ectopic kidney disorders.
- It is often misdiagnosed as a posterior mediastinal mass.
Observation:
- A 72-year-old woman presented with 3 years of nonspecific chest pain.
- Chest radiography revealed a left posterior mediastinal mass.
- Chest computed tomography confirmed the mass as a congenital intrathoracic kidney.
Findings:
- Intrathoracic kidney is a rare congenital anomaly.
- Chest computed tomography is effective in diagnosing intrathoracic kidney.
- Diagnosis of intrathoracic kidney obviates further clinical studies, treatment, or surgery.
Implications:
- Intrathoracic kidney should be considered in the differential diagnosis of posterior mediastinal masses.
- Accurate diagnosis prevents unnecessary medical interventions.
- Chest CT is a valuable tool for identifying this rare condition.
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