임신 3삼분기 산전진찰에서 발견된 선천성 횡격막 탈장에 동반된 선천성 흉강내 신장
A case of prenatal diagnosis of congenital thoracic kidney in the third trimester with congenital diaphragmatic hernia
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초록
선천성 흉강내 신장은 매우 드문 선천성 기형으로 배아형성시기의 신장 위치 이상으로 발생하는 이소성 흉강내 신장과 선천성 횡격막탈장에 동반된 신장의 흉강내 탈장으로 나뉜다. 산전진찰에서 발견된 선천성 흉강내 신장은 매우 드물고 선천성 횡격막 탈장의 동반 유무를 산전에 진단하기 어렵다. 본 증례에서는 기저질환이 없는 산모에서 임신 29주에 산전 복부초음파로 선천성 흉강내 신장이 진단되었고,출생 후 선천성 횡격막 탈장이 뒤늦게 발견된 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.
Abstract
Congenital thoracic kidney is a rare congenital malformation, caused by renal malpositioning during embryogenesis or congenital diaphregmatic hernia with herniation of kidney. Prenatal diagnosis of congenital thoracic kidney has been only rarely reported, underlying congenital diaphragmatic hernia should always be suspected in cases of congenital thoracic kidney. We present a case in which the prenatal diagnosis of an ectopic intrathoracic kidney was made on routine anatomical survey at 29 weeks’ gestation.
참고문헌 (12)
- Sözübir S, "Ectopic thoracic kidney in a child with congenital diaphragmatic hernia", Eur J Pediatr Surg, 15, pp.206~209 (2005)
- Panda B, "Prenatal diagnosis of ectopic intrathoracic kidney in a fetus with a left diaphragmatic hernia", J Clin Ultrasound, 37, pp.47~49 (2009)
- 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)
- Donat SM, "Intrathoracic kidney: a case report with a review of the world literature", J Urol, 140, pp.131~133 (1988)
- Liddell RM, "Delayed radiologic appearance of bilateral thoracic ectopic kidneys", AJR Am J Roentgenol, 152, pp.120~122 (1989)
- Dong Gon Yoo, "Traumatic Right Diaphragmatic Rupture Combined with Avulsion of the Right Kidney and Herniation of the Liver into the Thorax", The Korean Journal of Thoracic and Cardiovascular Surgery, 44(1), pp.76~79 (2011), 대한흉부외과학회
- Hubbard AM, "Prenatal MRI evaluation of congenital diaphragmatic hernia", Am J Perinatol, 16, pp.407~413 (1999)
- Sundaram V, "A male patient with right-sided thoracic kidney, diabetes mellitus, hearing loss and renal dysfunction", Int Urol Nephrol, 39, pp.959~962 (2007)
- Singh P, "Percutaneous nephrolithotomy of a staghorn stone in thoracic ectopic kidney", Int J Urol, 14, pp.558~560 (2007)
- Navarro A, "Unusual cause of lung and renal disease in a baby with trisomy 21", Pediatr Pulmonol, 40, pp.173~174 (2005)
- Zaiss I, "Associated malformations in congenital diaphragmatic hernia", Am J Perinatol, 28, pp.211~218 (2011)
- Pelizzo G, "Gastric volvulus associated with congenital diaphragmatic hernia, wandering spleen, and intrathoracic left kidney: CT findings", Abdom Imaging, 26, pp.306~308 (2001)