[Thoracic kidney: congenital or traumatic origin?].
The discovery of a thoracic kidney in adult patients can lead to three diagnoses, yielding different prognoses and treatment. It can either mean traumatic or congenital diaphragmatic hernia, or a congenital ectopic kidney. Intrathoracic herniation of the left kidney trough a left diaphragmatic rupture is an exceptional discovery. We report the case of a 44 year-old man who met with a car accident 20 years ago, and presented abdominal pain. CT-scan showed an intrathoracic herniation of the left kidney trough a left posterior diaphragmatic rupture. Laparoscopic approach in lateral position showed a traumatic hernia of the left costo-diaphragmatic hiatus only containing the left kidney and its pedicle. After reduction of herniated left kidney into the abdomen, the hiatus was closed by non-resorbable prosthetic mesh. Postoperative course was uneventful.
Esquis
P
P
Service de Chirurgie Générale et Endocrinienne, CHU de Dijon, 3, rue Faubourg-Raines, 21000 Dijon, France. esquisp@yahoo.fr
Osmak
L
L
Ognois
P
P
Goudet
P
P
Cougard
P
P
D000328:Adult; D003937:Diagnosis, Differential; D006548:Hernia, Diaphragmatic / Q000175:diagnosis; D065630:Hernias, Diaphragmatic, Congenital; D006801:Humans; D007668:Kidney / Q000002:abnormalities* / Q000293:injuries*; D008297:Male; D013909:Thorax