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Lung India Official publication of Indian Chest Society  
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CASE REPORT
Year : 2012  |  Volume : 29  |  Issue : 4  |  Page : 373-375

Bochdalek hernia with intrathoracic kidney


Department of Pulmonary Medicine, Smt. B. K. Shah Medical Institute and Research Centre, Piparia, Waghodia, Vadodara, Gujarat, India

Correspondence Address:
Stani Ajay
C-1, Staff Quarters, Sumandeep University, Campus, Waghodia, Vadodra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-2113.102837

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Bochdalek hernia is a congenital diaphragmatic defect that allows abdominal viscera to herniate into the thorax. Intrathoracic kidney is a very rare finding representing less than 5% of all renal ectopias. A 20 year old female presented with complaints of dry cough since 15 days and intermittent fever of 4 days duration. As part of routine investigation chest X-ray was done which showed a left retro-cardiac homogenous opacity, rest of the lung field appeared normal. Abdominal ultrasound showed the right kidney to be normal, left kidney was not visualized. Computed tomography scan demonstrated left-sided Bochdalek hernia with the left kidney within the thorax. An IVP was done to confirm the diagnosis. Many a times intrathoracic kidney is confused with a thoracic mass and the patient undergoes a battery of unnecessary investigations, surgical interventions and image guided biopsies for the same, hence to avoid this we are reporting this case.


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