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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.


Related in: MedlinePlus

Post-operative chest X-ray image of the same child who underwent thoracoscopic repair for congenital diaphragmatic hernia and the contents of hernia were identified as intestinal loops, spleen and left kidney. The image shows an intercostal drain in situ, right apical lung field to be clear and presence of fundic gas bubble below the diaphragm confirming stomach to be normally placed
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Figure 5: Post-operative chest X-ray image of the same child who underwent thoracoscopic repair for congenital diaphragmatic hernia and the contents of hernia were identified as intestinal loops, spleen and left kidney. The image shows an intercostal drain in situ, right apical lung field to be clear and presence of fundic gas bubble below the diaphragm confirming stomach to be normally placed

Mentions: Historically, management of CDH was immediate surgery, but over a period of time it was realized that immediate surgery may not be needed and hence intubation, oxygenation and extracorporeal membrane oxygenation was introduced. Our patient underwent thoracoscopic repair for left sided bochdalek hernia and contents of hernia were found to be intestinal loops, spleen and left kidney [Figure 5]. Patient had an uneventful post-operative period and is doing well at 6 months follow-up.


(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)

Post-operative chest X-ray image of the same child who underwent thoracoscopic repair for congenital diaphragmatic hernia and the contents of hernia were identified as intestinal loops, spleen and left kidney. The image shows an intercostal drain in situ, right apical lung field to be clear and presence of fundic gas bubble below the diaphragm confirming stomach to be normally placed
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 5: Post-operative chest X-ray image of the same child who underwent thoracoscopic repair for congenital diaphragmatic hernia and the contents of hernia were identified as intestinal loops, spleen and left kidney. The image shows an intercostal drain in situ, right apical lung field to be clear and presence of fundic gas bubble below the diaphragm confirming stomach to be normally placed
Mentions: Historically, management of CDH was immediate surgery, but over a period of time it was realized that immediate surgery may not be needed and hence intubation, oxygenation and extracorporeal membrane oxygenation was introduced. Our patient underwent thoracoscopic repair for left sided bochdalek hernia and contents of hernia were found to be intestinal loops, spleen and left kidney [Figure 5]. Patient had an uneventful post-operative period and is doing well at 6 months follow-up.

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