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Thoracic kidney associated with congenital diaphragmatic hernia
Kamal N Rattan1, Seema Rohilla, Rajat Narang
1Department of Pediatric Surgery, Pt. B.D. Sharma Post Graduate Institute of Medical Sciences, University of Health Sciences, Rohtak, Haryana, India.
Congenital Anomalies
|December 17, 2009
Summary
Three pediatric cases of ectopic thoracic kidney, a rare condition, were diagnosed during surgery and confirmed postoperatively. This condition was associated with congenital diaphragmatic hernia in all reported instances.
Area of Science:
- Pediatric Nephrology
- Congenital Abnormalities
- Surgical Diagnosis
Background:
- Ectopic thoracic kidney is a rare congenital anomaly where the kidney is located in the chest.
- Congenital diaphragmatic hernia is a birth defect affecting diaphragm formation, often associated with other anomalies.
- Understanding the presentation and diagnosis of rare ectopic kidney variants is crucial for pediatric surgical care.
Observation:
- Three neonates and infants (one neonate, two 6-month-olds) presented with ectopic thoracic kidney.
- All cases were incidentally discovered during surgical repair of congenital diaphragmatic hernia.
- The anomaly involved the kidney being located superiorly within the thoracic cavity.
Findings:
- Diagnosis was initially suspected during surgery.
- Postoperative confirmation was achieved using intravenous pyelography, sonography, and magnetic resonance imaging.
- The ectopic thoracic kidney was consistently associated with congenital diaphragmatic hernia in these pediatric patients.
Implications:
- This case series highlights the importance of considering ectopic thoracic kidney in neonates and infants with congenital diaphragmatic hernia.
- Multimodality imaging plays a vital role in confirming the diagnosis and characterizing the anomaly postoperatively.
- Increased awareness and reporting of such rare associations can improve diagnostic accuracy and surgical planning in pediatric congenital anomalies.
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