Right – sided  bochdalek  hernia  with  ectopic  kidney (a case report)

Omid  Amanollahi; Hamid Reza Beiranvand; Mohammad Bagher Heidari; Hamed Nikupoor Deilami

Journal of Kermanshah University of Medical Sciences

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Right – sided bochdalek hernia with ectopic kidney (a case report)

Author(s):

Omid Amanollahi^1,*,

Hamid Reza Beiranvand¹,

Mohammad Bagher Heidari ¹,

Hamed Nikupoor Deilami ¹

1Dept. of Surgery, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran

Journal of Kermanshah University of Medical Sciences:Vol. 13, issue 2; e79806

Published online:Sep 19, 2009

Article type:Case Report

Received:Jan 18, 2009

Accepted:Jun 16, 2009

How to Cite:Omid AmanollahiHamid Reza BeiranvandMohammad Bagher Heidari Hamed Nikupoor Deilami Right – sided bochdalek hernia with ectopic kidney (a case report).J Kermanshah Univ Med Sci.13(2):e79806.

Abstract

Background: Failure in the development of diaphragm leaves a posterolateral defect known as bochdalek hernia .This anomaly is observed on the left side in 80-90 percent of the cases. Incomplete development of the posterior diaphragm causes the abdominal viscera to move to the chest cavity, causing the lung to become hypoplastic at the affected side. Ectopic kidneys are mainly located within the pelvic. However rare cases of thoracic kidney have also been reported.

Case report: The patient was a 2-month-old infant admitted to the pediatric ward in Kermanshah Imam Reza hospital .Chest X-ray and chest sonography revealed a right – sided diaphragmatic hernia with ectopic kidney within the right thorax. The patient underwent a surgery. It was a success and the patient was released from the hospital.

Conclusion: Although thoracic kidney is a rare condition specifically when it is with diaphragmatic hernia, it could be diagnosed with before and after surgery investigations. This condition can be fixed with necessary manoeuvres and mobilization of vascular pediculus when the defect of diaphragm is removed.

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