title: Bochdalek-type Diaphragmatic Hernia Leading to High-grade Kidney Obstruction.
abstract: A 94-year-old female presented with sharp right flank pain. Imaging demonstrated herniation of the right renal pelvis and proximal ureter into a large diaphragmatic hernia. She underwent ureteral stent placement with resolution of her symptoms. Congenital diaphragmatic hernias can cause a variety of pulmonary, cardiac, and gastrointestinal symptoms. This is 1 of only 3 cases in the literature of unilateral kidney obstruction due to herniation of the renal pelvis and proximal ureter into a Bochdalek-type diaphragmatic hernia. Ureteral stenting is a good option to decompress the kidney. Hernia reduction and primary diaphragm repair remain the definitive treatment.
authors: Cedars-Sinai Urology, Cedars-Sinai Medical Center, Los Angeles, CA. Electronic address: Christodru@gmail.com.
authors: Christopher J
authors: CJ
authors: Dru
authors: Tower Urology, Cedars-Sinai Medical Center, Los Angeles, CA.
authors: David Y
authors: DY
authors: Josephson
mesh_terms: D000369:Aged, 80 and over; D005260:Female; D065630:Hernias, Diaphragmatic, Congenital / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D015607:Stents; D014056:Tomography, X-Ray; D014517:Ureteral Obstruction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D014567:Urography