title: (99m)Tc DTPA renogram indentifies Bochdalek hernia with an intra thoracic kidney as its content.
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.
authors.affiliation: Department of Nuclear Medicine and PETCT, Amrita Institute of Medical Sciences, Cochin, Kerala, India.
authors.forename: Subramanyam
authors.initials: S
authors.lastname: Padma
authors.affiliation: Department of Nuclear Medicine and PETCT, Amrita Institute of Medical Sciences, Cochin, Kerala, India.
authors.forename: Shantanu R
authors.initials: SR
authors.lastname: Pande
authors.affiliation: Department of Nuclear Medicine and PETCT, Amrita Institute of Medical Sciences, Cochin, Kerala, India.
authors.forename: Palaniswamy Shanmuga
authors.initials: PS
authors.lastname: Sundaram
keywords: Bowel in thorax; diaphragmatic hernia; diethylenetriamine pentaacetic acid renogram; intrathoracic kidney