An Ectopic Intrathoracic Kidney in an Adult Female: A Case Report
The kidney is an organ prone to congenital anomalies owing to its complex and sequential development. Ectopia of the kidney is a rare entity with intrathoracic ectopia being an exceptionally uncommon occurrence. Intrathoracic kidneys represent less than 5% of all renal ectopias with a prevalence r...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2022-08-01
|
| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://www.jcdr.net/articles/PDF/16800/56659_CE[OM]_F[SH]_PF1(AG_KM)_PN(KM).pdf |
| _version_ | 1828011865515491328 |
|---|---|
| author | Tharun Ganapathy Chitrambalam Nidhi Mariam George Ramyasree Paladugu Sundeep Selvamuthukumaran Lokesh Reddy |
| author_facet | Tharun Ganapathy Chitrambalam Nidhi Mariam George Ramyasree Paladugu Sundeep Selvamuthukumaran Lokesh Reddy |
| author_sort | Tharun Ganapathy Chitrambalam |
| collection | DOAJ |
| description | The kidney is an organ prone to congenital anomalies owing to its complex and sequential development. Ectopia of the kidney is a
rare entity with intrathoracic ectopia being an exceptionally uncommon occurrence. Intrathoracic kidneys represent less than 5% of all renal ectopias with a prevalence rate of less than 0.01%. The concurrent association of an intrathoracic kidney with a Bochdalek
hernia is extremely infrequent with an incidence of 0.25%. Most of the patients are asymptomatic and have an uneventful clinical
course. It is often incidentally detected simulating a posterior mediastinal mass. Thoracic kidney is a condition that shows male
predominance. Here, authors present a case of a 43-year-old female patient who presented to the Institution with breathlessness
and associated chest pain. Computed Tomography (CT) scan revealed left-sided Bochdalek hernia with the left kidney, adrenal
gland, transverse colon, splenic flexure and proximal descending colon within the thorax. The patient underwent elective diagnostic
laparoscopy followed by reduction of the contents and mesh repair of the diaphragmatic defect. The patient was discharged and
remained asymptomatic on a periodic follow-up of over a year. Awareness regarding this rare entity can obviate the need for a battery
of unnecessary investigations and operative procedures. |
| first_indexed | 2024-04-10T09:21:53Z |
| format | Article |
| id | doaj.art-401a7ada6167437c994e656389518ddf |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-04-10T09:21:53Z |
| publishDate | 2022-08-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-401a7ada6167437c994e656389518ddf2023-02-20T08:58:47ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2022-08-01168PD03PD0410.7860/JCDR/2022/56659.16800An Ectopic Intrathoracic Kidney in an Adult Female: A Case ReportTharun Ganapathy Chitrambalam0Nidhi Mariam George1Ramyasree Paladugu2Sundeep Selvamuthukumaran3Lokesh Reddy4Associate Professor, Department of General Surgery, SRM Medical College Hospital and Research Centre, Kattankulathur, Tamil Nadu, India.Postgraduate Student, Department of General Surgery, SRM Medical College Hospital and Research Centre, Kattankulathur, Tamil Nadu, India.Postgraduate Student, Department of General Surgery, SRM Medical College Hospital and Research Centre, Kattankulathur, Tamil Nadu, India.Postgraduate Student, Department of General Surgery, SRM Medical College Hospital and Research Centre, Kattankulathur, Tamil Nadu, India.Assistant Professor, Department of General Surgery, SRM Medical College Hospital and Research Centre, Kattankulathur, Tamil Nadu, India.The kidney is an organ prone to congenital anomalies owing to its complex and sequential development. Ectopia of the kidney is a rare entity with intrathoracic ectopia being an exceptionally uncommon occurrence. Intrathoracic kidneys represent less than 5% of all renal ectopias with a prevalence rate of less than 0.01%. The concurrent association of an intrathoracic kidney with a Bochdalek hernia is extremely infrequent with an incidence of 0.25%. Most of the patients are asymptomatic and have an uneventful clinical course. It is often incidentally detected simulating a posterior mediastinal mass. Thoracic kidney is a condition that shows male predominance. Here, authors present a case of a 43-year-old female patient who presented to the Institution with breathlessness and associated chest pain. Computed Tomography (CT) scan revealed left-sided Bochdalek hernia with the left kidney, adrenal gland, transverse colon, splenic flexure and proximal descending colon within the thorax. The patient underwent elective diagnostic laparoscopy followed by reduction of the contents and mesh repair of the diaphragmatic defect. The patient was discharged and remained asymptomatic on a periodic follow-up of over a year. Awareness regarding this rare entity can obviate the need for a battery of unnecessary investigations and operative procedures.https://www.jcdr.net/articles/PDF/16800/56659_CE[OM]_F[SH]_PF1(AG_KM)_PN(KM).pdfbochdalek herniadiaphragmatic herniarenal ectopiarenal agenesis |
| spellingShingle | Tharun Ganapathy Chitrambalam Nidhi Mariam George Ramyasree Paladugu Sundeep Selvamuthukumaran Lokesh Reddy An Ectopic Intrathoracic Kidney in an Adult Female: A Case Report Journal of Clinical and Diagnostic Research bochdalek hernia diaphragmatic hernia renal ectopia renal agenesis |
| title | An Ectopic Intrathoracic Kidney in an Adult Female: A Case Report |
| title_full | An Ectopic Intrathoracic Kidney in an Adult Female: A Case Report |
| title_fullStr | An Ectopic Intrathoracic Kidney in an Adult Female: A Case Report |
| title_full_unstemmed | An Ectopic Intrathoracic Kidney in an Adult Female: A Case Report |
| title_short | An Ectopic Intrathoracic Kidney in an Adult Female: A Case Report |
| title_sort | ectopic intrathoracic kidney in an adult female a case report |
| topic | bochdalek hernia diaphragmatic hernia renal ectopia renal agenesis |
| url | https://www.jcdr.net/articles/PDF/16800/56659_CE[OM]_F[SH]_PF1(AG_KM)_PN(KM).pdf |
| work_keys_str_mv | AT tharunganapathychitrambalam anectopicintrathoracickidneyinanadultfemaleacasereport AT nidhimariamgeorge anectopicintrathoracickidneyinanadultfemaleacasereport AT ramyasreepaladugu anectopicintrathoracickidneyinanadultfemaleacasereport AT sundeepselvamuthukumaran anectopicintrathoracickidneyinanadultfemaleacasereport AT lokeshreddy anectopicintrathoracickidneyinanadultfemaleacasereport AT tharunganapathychitrambalam ectopicintrathoracickidneyinanadultfemaleacasereport AT nidhimariamgeorge ectopicintrathoracickidneyinanadultfemaleacasereport AT ramyasreepaladugu ectopicintrathoracickidneyinanadultfemaleacasereport AT sundeepselvamuthukumaran ectopicintrathoracickidneyinanadultfemaleacasereport AT lokeshreddy ectopicintrathoracickidneyinanadultfemaleacasereport |