Intrathoracic kidney and liver secondary to congenital diaphragmatic hernia recognized by transthoracic echocardiography.
Although congenital defects of the diaphragm often occur in the period immediately following birth, 10-20% of these cases are diagnosed later. Diaphragmatic hernia with intrathoracic kidney is very rare. The radiographic appearance of diaphragmatic hernia with a thoracic kidney is similar to posterior mediastinal masses. Chest computed tomography (CT) is an important and efficient tool in confirming the diagnosis. We reported a 28-year-old man who suffered from nonspecific chest tightness for 1 month. He denied a history of traumatic chest injury. Transthoracic echocardiography revealed a left posterior reniform mass with central echo complex, which was finally confirmed by contrast-enhanced chest CT to be a congenital intrathoracic kidney.
Lee
Cheng-Han
CH
Tsai
Liang-Miin
LM
Lin
Li-Jen
LJ
Chen
Po-Sheng
PS
D000328:Adult; D017548:Echocardiography, Transesophageal; D006548:Hernia, Diaphragmatic / Q000150:complications*; D065630:Hernias, Diaphragmatic, Congenital; D006801:Humans; D007668:Kidney / Q000002:abnormalities* / Q000000981:diagnostic imaging*; D008099:Liver / Q000002:abnormalities* / Q000000981:diagnostic imaging*; D008297:Male