Prenatal diagnosis of thoracic kidney in the 2nd trimester with delayed manifestation of associated diaphragmatic hernia

Athanasiadis, Apostolos; Zafrakas, Μenelaos; Arnaoutoglou, Christos; Karavida, A.; Papasozomenou, Panayiota; Tarlatzis, Basil C.

doi:10.1002/jcu.20769

Cited by 12 publications

(19 citation statements)

References 15 publications

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“…The diagnosis of thoracic renal ectopia usually occurs in adults. However, as a consequence of systematic ultrasonographic screenings in pregnancy, precision and diagnostic accuracy, and the use of Doppler, we have diagnostic reports of the condition in the prenatal stage [34], and these have been studied by magnetic resonance imaging as well. The cases reported previously have been associated with congenital diaphragmatic hernia but have not been associated with diaphragmatic eventration, as seen in our case.…”

Section: Discussionmentioning

confidence: 99%

Right Diaphragmatic Eventration with an Intrathoracic Kidney: Case Report and Review of the Literature

Carrasco¹,

Castro²

2018

Case Reports in Surgery

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We aimed to review the publications on the diagnosis of diaphragmatic eventration and report on the clinical presentation and surgical treatment of a female patient aged 17 years. The present case, though quite infrequent, shows the presence of an ectopic thoracic kidney on the right side. The clinical features included dry cough, chest pain, respiratory distress, and bronchial spasms for 4 years; additionally, the patient had episodes of bronchial asthma since her childhood. The right hemithorax presented invasion of the thin loops, right colon, and kidney. The treatment approach was laparoscopic followed by thoracotomy using a dual mesh. The intrathoracic kidney remained in place. The outcome was satisfactory. Diaphragmatic eventration associated with thoracic renal ectopia is a very rare entity, considering the age, sex, and right location of the condition. It represents a clinical and diagnostic challenge; clinicians, radiologists, and surgeons must be alert with a high degree of suspicion in order to correlate symptoms and imaging findings and understand the etiopathogenesis. In addition, they should plan an adequate and individualized surgical repair making use, as far as possible, of the minimally invasive procedures that are currently used.

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Section: Discussionmentioning

confidence: 99%

Right Diaphragmatic Eventration with an Intrathoracic Kidney: Case Report and Review of the Literature

Carrasco¹,

Castro²

2018

Case Reports in Surgery

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“…4 Prenatal diagnosis of CDH is well known; however, ITK is a rare content with only a few cases reported as listed in Table 1. 2,[5][6][7][8][9][10] Embryologically, the kidneys ascend from the pelvis at 5 weeks and reach their adult location in the renal fossa by 8-weeks' gestation.…”

Section: Discussionmentioning

confidence: 99%

“…ITK with CDH constitutes less than 0.25% of ITK cases 4 . Prenatal diagnosis of CDH is well known; however, ITK is a rare content with only a few cases reported as listed in Table 1 2,5‐10 …”

Section: Discussionmentioning

confidence: 99%

A missing kidney and a hidden congenital diaphragmatic hernia

Singh

Shahnaz

Handa

et al. 2020

J of Clinical Ultrasound

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Congenital intrathoracic kidney (ITK) is a rare condition, which is usually discovered incidentally in asymptomatic children who do not need any intervention. However, it may be associated with congenital diaphragmatic hernia (CDH), in which case it requires urgent surgical intervention. We present a case of prenatally diagnosed ITK associated with a left CDH that was operated on day 5 of life. The neonate is currently well at 15 months of age.

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“…Most patients are diagnosed incidentally, even in adults, because this disorder is asymptomatic. A prenatal diagnosis of ectopic intrathoracic kidney combined with CDH has only rarely been reported, with just five described cases to date [ 7 8 9 10 11 ]. We here present the first case of a prenatally diagnosed intrathoracic kidney that prevented herniation of other abdominal contents, including the liver, in a fetus with RCDH.…”

Section: Discussionmentioning

confidence: 99%

“…We here present the first case of a prenatally diagnosed intrathoracic kidney that prevented herniation of other abdominal contents, including the liver, in a fetus with RCDH. An underlying CDH should always be suspected in cases of intrathoracic kidney, as this condition may manifest later, either prenatally or postnatally [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

Impaction of an intrathoracic kidney acted as a shield against herniation of the abdominal viscera in a case of right congenital diaphragmatic hernia

et al. 2016

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We describe a case of an intrathoracic kidney combined with right congenital diaphragmatic hernia (CDH) that was diagnosed at 32 weeks of gestation. Although it has been well established that a right CDH shows a poorer outcome than a left CDH, our present case showed a good outcome because there was no herniation of other abdominal viscera, except for the right kidney. Our findings in this case indicate that impaction of the intrathoracic kidney may act as a 'shield' against further herniation of other abdominal viscera into the thoracic cavity.

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Prenatal diagnosis of thoracic kidney in the 2nd trimester with delayed manifestation of associated diaphragmatic hernia

Cited by 12 publications

References 15 publications

Right Diaphragmatic Eventration with an Intrathoracic Kidney: Case Report and Review of the Literature

Right Diaphragmatic Eventration with an Intrathoracic Kidney: Case Report and Review of the Literature

A missing kidney and a hidden congenital diaphragmatic hernia

Impaction of an intrathoracic kidney acted as a shield against herniation of the abdominal viscera in a case of right congenital diaphragmatic hernia

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