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Bochdalek hernia with intrathoracic kidney as one of its contents – Incidentally identified by 99mTc-DTPA renogram

Publication Type : Journal Article

Publisher : Iranian Journal of Nuclear Medicine

Source : Iranian Journal of Nuclear Medicine, Volume 20, Number 2, p.37-40 (2012)

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Keywords : article, Bochdalek hernia, boy, case report, child, chill, congenital diaphragm hernia, ectopic kidney, endoscopic surgery, hernioplasty, human, infant, intestine loop, kidney scintiscanning, male, pentetate technetium tc 99m, preschool child, recurrent fever, rigor, spleen, thorax surgery, ureteropelvic junction

Campus : Kochi

School : School of Medicine

Department : Nuclear Medicine

Year : 2012

Abstract : Congenital diaphragmatic hernia (CDH) is a rare anomaly with a reported incidence of 1 in 16,000 populations. It may be associated with herniation of stomach, intestinal loops, spleen, and kidney through a chest wall defect. We report a case of a 1 year old male child who presented with recurrent fever, occasional chills and rigor of 4 months duration. Left kidney was non visualised on ultrasound examination. Patient was referred for a 99mTc DTPA (Diethylenetriamine penta-acetic acid) renogram to look for the presence of an ectopic left kidney. An intrathoracic left kidney was identified that was normally functioning and PUJ (pelviureteric junction) non obstructed. A routine chest X-ray was performed to look for respiratory tract infection that showed bowel loops in left posterior thorax, raising a suspicion for CDH. The patient underwent thoracoscopic repair of CDH and the hernial contents were found to be left kidney, intestinal loops and spleen. Intrathoracic kidney is relatively rare and constitutes 5% of all ectopic kidneys and is invariably PUJ non obstructed.

Cite this Research Publication : S. Pande, Padma, S., and Sundaram, P. S., “Bochdalek hernia with intrathoracic kidney as one of its contents - Incidentally identified by 99mTc-DTPA renogram”, Iranian Journal of Nuclear Medicine, vol. 20, pp. 37-40, 2012.

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