title: Bochdalek hernia with intrathoracic kidney.
abstract: 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.
authors.affiliation: Department of Pulmonary Medicine, Smt. B. K. Shah Medical Institute and Research Centre, Piparia, Waghodia, Vadodara, Gujarat, India.
authors.forename: Arti D
authors.initials: AD
authors.lastname: Shah
authors.forename: Stani
authors.initials: S
authors.lastname: Ajay
authors.forename: Mayur
authors.initials: M
authors.lastname: Adalia
authors.forename: Amar
authors.initials: A
authors.lastname: Rathi