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(99m)Tc DTPA renogram indentifies Bochdalek hernia with an intra thoracic kidney as its content.

Padma S, Pande SR, Sundaram PS - World J Nucl Med (2014)

Bottom Line: Congenital diaphragmatic hernia (CDH) is a rare anomaly with reported incidence of 1 in 16,000 and is associated with herniation of stomach, intestinal loops, spleen, and kidney through a chest wall defect.Subsequently a chest X-ray was done that showed bowel loops and diagnosis of CDH was confirmed.The patient underwent thoracoscopic repair of CDH and hernial contents were found to be left kidney, intestinal loops and spleen.

View Article: PubMed Central - PubMed

Affiliation: Department of Nuclear Medicine and PETCT, Amrita Institute of Medical Sciences, Cochin, Kerala, India.

ABSTRACT
Congenital diaphragmatic hernia (CDH) is a rare anomaly with reported incidence of 1 in 16,000 and is associated with herniation of stomach, intestinal loops, spleen, and kidney through a chest wall defect. We report a case of 1-year-old male child with history of recurrent fever and non-visualization of left kidney on ultrasonogram. Patient was referred to us to look for ectopic left kidney.(99m)Tc-diethylenetriaminepentaacetic acid renogram was performed. An ectopically placed intrathoracic left kidney was identified. Subsequently a chest X-ray was done that showed bowel loops and diagnosis of CDH was confirmed. The patient underwent thoracoscopic repair of CDH and hernial contents were found to be left kidney, intestinal loops and spleen.

No MeSH data available.


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Lateral X-ray of chest shows intestinal loops in posterior aspect of hemithorax
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Figure 4: Lateral X-ray of chest shows intestinal loops in posterior aspect of hemithorax

Mentions: The diagnosis of CDH, CDH is usually confirmed by a plain chest radiograph that demonstrates loops of intestines in chest.[5] CDH has a reported incidence of 1 in 2500 and 1 in 4000 live births.[67] The characteristic chest X-ray PA view findings in our patient are (i) herniated bowel loops in left hemithorax (ii) left hemidiaphragm not appreciable separately (iii) tracheal and mediastinal shift to right (iv) clear lung fields (v) no associated pleural effusion [Figures 3 and 4]. Lateral view shows intestinal loops in posterior aspect of hemithorax. This hernia is known as Bochdalek hernia, also called posterolateral diaphragmatic hernia and is the most common manifestation of CDH, accounting for more than 95% of cases.


(99m)Tc DTPA renogram indentifies Bochdalek hernia with an intra thoracic kidney as its content.

Padma S, Pande SR, Sundaram PS - World J Nucl Med (2014)

Lateral X-ray of chest shows intestinal loops in posterior aspect of hemithorax
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4262879&req=5

Figure 4: Lateral X-ray of chest shows intestinal loops in posterior aspect of hemithorax
Mentions: The diagnosis of CDH, CDH is usually confirmed by a plain chest radiograph that demonstrates loops of intestines in chest.[5] CDH has a reported incidence of 1 in 2500 and 1 in 4000 live births.[67] The characteristic chest X-ray PA view findings in our patient are (i) herniated bowel loops in left hemithorax (ii) left hemidiaphragm not appreciable separately (iii) tracheal and mediastinal shift to right (iv) clear lung fields (v) no associated pleural effusion [Figures 3 and 4]. Lateral view shows intestinal loops in posterior aspect of hemithorax. This hernia is known as Bochdalek hernia, also called posterolateral diaphragmatic hernia and is the most common manifestation of CDH, accounting for more than 95% of cases.

Bottom Line: Congenital diaphragmatic hernia (CDH) is a rare anomaly with reported incidence of 1 in 16,000 and is associated with herniation of stomach, intestinal loops, spleen, and kidney through a chest wall defect.Subsequently a chest X-ray was done that showed bowel loops and diagnosis of CDH was confirmed.The patient underwent thoracoscopic repair of CDH and hernial contents were found to be left kidney, intestinal loops and spleen.

View Article: PubMed Central - PubMed

Affiliation: Department of Nuclear Medicine and PETCT, Amrita Institute of Medical Sciences, Cochin, Kerala, India.

ABSTRACT
Congenital diaphragmatic hernia (CDH) is a rare anomaly with reported incidence of 1 in 16,000 and is associated with herniation of stomach, intestinal loops, spleen, and kidney through a chest wall defect. We report a case of 1-year-old male child with history of recurrent fever and non-visualization of left kidney on ultrasonogram. Patient was referred to us to look for ectopic left kidney.(99m)Tc-diethylenetriaminepentaacetic acid renogram was performed. An ectopically placed intrathoracic left kidney was identified. Subsequently a chest X-ray was done that showed bowel loops and diagnosis of CDH was confirmed. The patient underwent thoracoscopic repair of CDH and hernial contents were found to be left kidney, intestinal loops and spleen.

No MeSH data available.


Related in: MedlinePlus