Right-sided Bochdalek hernia with intrathoracic kidney

Pediatr Surg Int. 2006 Dec;22(12):1029-31. doi: 10.1007/s00383-006-1747-z. Epub 2006 Sep 22.

Abstract

Bochdalek hernias are usually congenital and are seen with much greater frequency on the left side. Intrathoracic kidney is a very rare congenital anomaly, with only about 50 cases reported in the world literature. The incidence of intrathoracic kidney with Bochdalek hernias was reported to be less than 0.25%. A 22-month-old boy was admitted to our clinic with recurrent pulmonary infections. A chest X-ray, intravenous urogram, computed tomography, and magnetic resonance angiography revealed a right-sided Bochdalek hernia with dilated colon loops and right kidney within right hemithorax. Under a thoracotomy, a direct closure of the hernia was performed after the colon and kidney were returned to the abdomen. We report the second case, which has a diagnosis of a right Bochdalek hernia with intrathoracic kidney. Clinical correlations among this unusual combination are discussed.

Publication types

  • Case Reports

MeSH terms

  • Abnormalities, Multiple*
  • Choristoma / complications
  • Choristoma / diagnosis*
  • Hernia, Diaphragmatic / complications*
  • Humans
  • Infant
  • Kidney* / diagnostic imaging
  • Male
  • Pleural Cavity*
  • Respiratory Insufficiency
  • Urography