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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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.
Abstract
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.
참고문헌 (15)
- Beaumier CK, "Canadian Pediatric Surgery Network. Clinical characteristics and outcomes of patients with right congenital diaphragmatic hernia: a population-based study", J Pediatr Surg, 50, pp.731~733 (2015)
- DeKoninck P, "Right-sided congenital diaphragmatic hernia in a decade of fetal surgery", BJOG, 122, pp.940~946 (2015)
- Fisher JC, "Redefining outcomes in right congenital diaphragmatic hernia", J Pediatr Surg, 43, pp.373~379 (2008)
- Hedrick HL, "Right congenital diaphragmatic hernia : prenatal assessment and outcome", J Pediatr Surg, 39, pp.319~323 (2004)
- Skari H, "Congenital diaphragmatic hernia : a meta-analysis of mortality factors", J Pediatr Surg, 35, pp.1187~1197 (2000)
- Donat SM, "Intrathoracic kidney : a case report with a review of the world literature", J Urol, 140, pp.131~133 (1988)
- 박병섭, "임신 3삼분기 산전진찰에서 발견된 선천성 횡격막 탈장에 동반된 선천성 흉강내 신장", Obstetrics & Gynecology Science, 55(12), pp.978~981 (2012), 대한산부인과학회[DOI]
- Athanasiadis AP, "Prenatal diagnosis of thoracic kidney in the 2nd trimester with delayed manifestation of associated diaphragmatic hernia", J Clin Ultrasound, 39, pp.221~224 (2011)
- Panda B, "Prenatal diagnosis of ectopic intrathoracic kidney in a fetus with a left diaphragmatic hernia", J Clin Ultrasound, 37, pp.47~49 (2009)
- Masturzo B, "Prenatal diagnosis of an ectopic intrathoracic kidney in right-sided congenital diaphragmatic hernia using color Doppler ultrasonography", Ultrasound Obstet Gynecol, 18, pp.173~174 (2001)
- Hidaka N, "Sonographic appearance of intrathoracic kidney in a fetus with left diaphragmatic hernia", J Clin Ultrasound, 40, pp.600~602 (2012)
- Sherer DM, "Prenatal color and pulsed Doppler sonographic documentation of intrathoracic umbilical vein and ductus venosus, confirming extensive hepatic herniation in left congenital diaphragmatic hernia", Am J Perinatol, 13, pp.159~162 (1996)
- Harrison MR, "A randomized trial of fetal endoscopic tracheal occlusion for severe fetal congenital diaphragmatic hernia", N Engl J Med, 349, pp.1916~1924 (2003)
- Wilson JM, "Congenital diaphragmatic hernia : a tale of two cities : the Boston experience", J Pediatr Surg, 32, pp.401~405 (1997)
- Harrison MR, "A prospective study of the outcome for fetuses with diaphragmatic hernia", JAMA, 271, pp.382~384 (1994)