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Bochdalek-type Diaphragmatic Hernia Leading to High-grade Kidney Obstruction
Christopher J Dru1, David Y Josephson2
1Cedars-Sinai Urology, Cedars-Sinai Medical Center, Los Angeles, CA.
Urology
|August 29, 2016
Summary
A rare case of kidney obstruction caused by a diaphragmatic hernia is presented. Ureteral stenting relieved the patient's flank pain, offering a minimally invasive treatment option for this uncommon condition.
Area of Science:
- Nephrology
- Urology
- Thoracic Surgery
Background:
- Congenital diaphragmatic hernias (CDH) are rare birth defects.
- CDH can lead to various pulmonary, cardiac, and gastrointestinal complications.
- Renal pelvis and ureter herniation into a diaphragmatic hernia is exceptionally uncommon.
Observation:
- A 94-year-old female presented with acute right flank pain.
- Imaging revealed herniation of the right renal pelvis and proximal ureter into a large Bochdalek-type diaphragmatic hernia.
- This herniation caused unilateral kidney obstruction.
Findings:
- The patient underwent successful ureteral stent placement.
- Ureteral stenting effectively decompressed the obstructed kidney.
- Symptoms, including flank pain, resolved post-procedure.
Implications:
- This case highlights an unusual cause of kidney obstruction.
- Ureteral stenting provides symptomatic relief and kidney decompression in such cases.
- Definitive treatment involves surgical hernia repair, but stenting is a valuable temporizing measure.
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