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African Journal of Urology

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Case report: Thoracoscopic repair of renal ectopia associated with congenital diaphragmatic hernia: Report of two cases

RS Kamble, RK Gupta, AR Gupta, R Marchant, PR Kothari, V Dikshit, GA Kekre, PS Patil, Ka Mudkhedkar

Abstract


Renal ectopia is a rare anomaly which may occur due to an abnormal ascent of the kidney. It is usually  asymptomatic and does not require treatment. Intrathoracic renal ectopia with concomitant congenital diaphragmatic hernia (CDH) is extremely rare. All symptomatic CDH cases must be treated with open or thoracoscopic repair. During plication of the diaphragm, care must be taken to avoid renal injury. Following, we present two rare variants of CDH with concomitant renal ectopia managed thoracoscopically.  Postoperative recovery was uneventful. Doppler ultrasound study performed one month after surgery confirmed normal vascularity of the kidneys and the absence of urinary outflow obstruction.

KEYWORDS: Congenital diaphragmatic hernia; Renal ectopia; Thoracoscopic repair




http://dx.doi.org/10.1016/j.afju.2015.06.002
AJOL African Journals Online