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Gözlügöl N, Sari H, Afshar-Oromieh A, Rominger A, Caobelli F. Ectopic Right Kidney Imaged With Dynamic 82Rb PET/CT. Clin Nucl Med 2025; 50:e320-e321. [PMID: 40179306 DOI: 10.1097/rlu.0000000000005716] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2024] [Accepted: 12/15/2024] [Indexed: 04/05/2025]
Abstract
Ectopic kidney in the thoracic region are infrequent in clinical practice. A 64-year-old man underwent a Rubidium (82Rb) positron emission tomography/computed tomography (PET-CT) scan for the evaluation of myocardial ischemia due to a diagnosed 2-vessel coronary artery disease. While no myocardial perfusion abnormalities were detected, the scan showed the presence of a diaphragmatic high stand on the right side, with evidence of an ectopic kidney. We here present static and flow dynamic images of this rare finding1-3.
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Affiliation(s)
- Nasir Gözlügöl
- Department of Nuclear Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland
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Ji Z, Zhao Z, Xi H, Ren H. Laparoscopic repair of intrathoracic kidney associated with giant congenital diaphragmatic hernia: an infant case report and literature review. Front Pediatr 2024; 12:1499644. [PMID: 39711878 PMCID: PMC11659003 DOI: 10.3389/fped.2024.1499644] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/21/2024] [Accepted: 11/18/2024] [Indexed: 12/24/2024] Open
Abstract
Background Intrathoracic kidney (ITK) is a rare congenital disease, with only about 40 pediatric cases reported worldwide to date. ITK associated with congenital diaphragmatic hernia (CDH) is even rarer, and we report a case of an infant with ITK combined with a giant CDH. Case description and management A six-month-old male infant was hospitalized due to "vomiting for 4 days". The child's parents sought a definitive diagnosis and treatment to alleviate the child's suffering. Following a series of examinations and laboratory tests, we determined the child had ITK combined with CDH. We treated the condition laparoscopically, repairing the diaphragmatic defect and securing the kidney to the posterior wall of the abdomen. After a two-year follow-up period, the child exhibited no significant discomfort. Conclusions Infantile ITK combined with giant CDH is relatively rare and the etiology is unclear. When symptoms of pneumonia, gastrointestinal obstruction or genitourinary tract occur, surgical intervention is necessary. Laparoscopic reduction of the ectopic kidney and repair of the giant diaphragmatic hernia is a minimally invasive and effective surgical approach.
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Affiliation(s)
- Ze Ji
- Department of Neonatal Surgery, Shanxi Provincial Children’s Hospital, Taiyuan, China
- Department of Pediatrics, Shanxi Medical University, Taiyuan, China
| | - Zhen Zhao
- Department of Pediatrics, Shanxi Medical University, Taiyuan, China
| | - Hongwei Xi
- Department of General Surgery, Shanxi Provincial Children's Hospital, Taiyuan, China
| | - Hongxia Ren
- Department of Neonatal Surgery, Shanxi Provincial Children’s Hospital, Taiyuan, China
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Orlandi G, Toscano P, Gabrielli O, Di Lella E, Lettieri A, Manzo L, Mazzarelli LL, Sica C, Di Meglio L, Di Meglio L, Gulino FA, Incognito GG, Tuscano A, Cianci S, Di Meglio A. Prenatal Diagnosis of an Intrathoracic Left Kidney Associated with Congenital Diaphragmatic Hernia: Case Report and Systematic Review. J Clin Med 2023; 12:3608. [PMID: 37297803 PMCID: PMC10253368 DOI: 10.3390/jcm12113608] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2023] [Revised: 05/09/2023] [Accepted: 05/19/2023] [Indexed: 06/12/2023] Open
Abstract
INTRODUCTION A congenital intrathoracic kidney (ITK) is a rare anomaly that is recognized to have four causes: renal ectopia with an intact diaphragm, diaphragmatic eventration, diaphragmatic hernia, and traumatic diaphragmatic rupture. We report a case of a prenatal-diagnosed ITK related to a congenital diaphragmatic hernia (CDH) and conducted a systematic review of all cases of the prenatal diagnosis of this association. CASE PRESENTATION A fetal ultrasound scan at 22 gestational weeks showed left CDH and ITK, hyperechoic left lung parenchyma, and mediastinal shift. The fetal echocardiography and karyotype were normal. Magnetic resonance imaging at 30 gestational weeks confirmed the ultrasound suspicion of left CDH in association with bowel and left kidney herniation. The fetal growth, amniotic fluid, and Doppler indices remained within the normal range over time. The woman delivered the newborn via an at-term spontaneous vaginal delivery. The newborn was stabilized and underwent non-urgent surgical correction; the postoperative course was uneventful. CONCLUSIONS CDH is the rarest cause of ITK; we found only eleven cases describing this association. The mean gestational age at diagnosis was 29 ± 4 weeks and 4 days. There were seven cases of right and four cases of left CDH. There were associated anomalies in only three fetuses. All women delivered live babies, the herniated kidneys showed no functional damage after their surgical correction, and the prognosis was favorable after surgical repair. The prenatal diagnosis and counseling of this condition are important in planning adequate prenatal and postnatal management in order to improve neonatal outcomes.
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Affiliation(s)
- Giuliana Orlandi
- Department of Neuroscience, Reproductive Sciences and Dentistry, School of Medicine, University of Naples Federico II, 80131 Naples, Italy; (G.O.); (P.T.); (E.D.L.); (L.M.); (L.L.M.)
- Diagnostica Ecografica e Prenatale di A. Di Meglio, 80133 Naples, Italy; (A.L.); (C.S.); (A.D.M.)
| | - Paolo Toscano
- Department of Neuroscience, Reproductive Sciences and Dentistry, School of Medicine, University of Naples Federico II, 80131 Naples, Italy; (G.O.); (P.T.); (E.D.L.); (L.M.); (L.L.M.)
- Diagnostica Ecografica e Prenatale di A. Di Meglio, 80133 Naples, Italy; (A.L.); (C.S.); (A.D.M.)
| | - Olimpia Gabrielli
- Department of Neuroscience, Reproductive Sciences and Dentistry, School of Medicine, University of Naples Federico II, 80131 Naples, Italy; (G.O.); (P.T.); (E.D.L.); (L.M.); (L.L.M.)
- Diagnostica Ecografica e Prenatale di A. Di Meglio, 80133 Naples, Italy; (A.L.); (C.S.); (A.D.M.)
| | - Enrica Di Lella
- Department of Neuroscience, Reproductive Sciences and Dentistry, School of Medicine, University of Naples Federico II, 80131 Naples, Italy; (G.O.); (P.T.); (E.D.L.); (L.M.); (L.L.M.)
- Diagnostica Ecografica e Prenatale di A. Di Meglio, 80133 Naples, Italy; (A.L.); (C.S.); (A.D.M.)
| | - Antonia Lettieri
- Diagnostica Ecografica e Prenatale di A. Di Meglio, 80133 Naples, Italy; (A.L.); (C.S.); (A.D.M.)
| | - Luigi Manzo
- Department of Neuroscience, Reproductive Sciences and Dentistry, School of Medicine, University of Naples Federico II, 80131 Naples, Italy; (G.O.); (P.T.); (E.D.L.); (L.M.); (L.L.M.)
- Diagnostica Ecografica e Prenatale di A. Di Meglio, 80133 Naples, Italy; (A.L.); (C.S.); (A.D.M.)
| | - Laura Letizia Mazzarelli
- Department of Neuroscience, Reproductive Sciences and Dentistry, School of Medicine, University of Naples Federico II, 80131 Naples, Italy; (G.O.); (P.T.); (E.D.L.); (L.M.); (L.L.M.)
- Diagnostica Ecografica e Prenatale di A. Di Meglio, 80133 Naples, Italy; (A.L.); (C.S.); (A.D.M.)
| | - Carmine Sica
- Diagnostica Ecografica e Prenatale di A. Di Meglio, 80133 Naples, Italy; (A.L.); (C.S.); (A.D.M.)
| | - Letizia Di Meglio
- Radiology Department, School of Medicine, University of Milan, 20133 Milan, Italy;
| | - Lavinia Di Meglio
- Pediatric Department, Bambino Gesù Children’s Research Hospital IRCCS, 00165 Rome, Italy;
| | - Ferdinando Antonio Gulino
- Department of Obstetrics and Gynaecology, Azienda di Rilievo Nazionale e di Alta Specializzazione (ARNAS) Garibaldi Nesima, 95124 Catania, Italy
| | - Giosuè Giordano Incognito
- Department of General Surgery and Medical Surgical Specialties, University of Catania, 95123 Catania, Italy (A.T.)
| | - Attilio Tuscano
- Department of General Surgery and Medical Surgical Specialties, University of Catania, 95123 Catania, Italy (A.T.)
| | - Stefano Cianci
- Department of Human Pathology of Adult and Childhood “G. Barresi”, University of Messina, 98121 Messina, Italy;
| | - Aniello Di Meglio
- Diagnostica Ecografica e Prenatale di A. Di Meglio, 80133 Naples, Italy; (A.L.); (C.S.); (A.D.M.)
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Theodorou DJ, Theodorou SJ, Bourantas LK, Tzimas T. Thoracic kidney: a mass in the chest. J Nephrol 2023; 36:303-304. [PMID: 36441498 PMCID: PMC9702605 DOI: 10.1007/s40620-022-01514-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2022] [Accepted: 10/22/2022] [Indexed: 11/29/2022]
Affiliation(s)
- Daphne J Theodorou
- Department of Radiology, General Hospital of Ioannina, 13 Papadopoulos Street, Ioannina, Greece.
| | - Stavroula J Theodorou
- Department of Radiology, General Hospital of Ioannina, 13 Papadopoulos Street, Ioannina, Greece
| | - Lampros K Bourantas
- Department of Internal Medicine, Nephrology Unit, General Hospital of Ioannina, Ioannina, Greece
| | - Thomas Tzimas
- Department of Internal Medicine, Nephrology Unit, General Hospital of Ioannina, Ioannina, Greece
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Intrathoracic Renal Ectopia: A Case Report and Review of the Literature. Nephrourol Mon 2021. [DOI: 10.5812/numonthly.114552] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
: Renal ectopy is a rare phenomenon, which its diagnosis may be delayed due to an asymptomatic condition. The ectopic kidney may even have a normal functional state; however, because of occurring kidney blockade, the risk for kidney stones and even failure may be raised. In many cases, the diagnosis is completely incidental and is based on the request of radiography and sometimes, CT scan even for other reasons. In the therapeutic approach, in cases of kidney blockage, or urine backing up to the kidney, the surgical intervention is highly recommended by excisional removing the mass. Herein, we described a case of ectopic intrathoracic kidney initially presented with mild respiratory distress that was ultimately diagnosed by CT scanning and removed surgically.
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