Journal List > Korean J Obstet Gynecol > v.55(12) > 1088578

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Park, Cho, Ji, Jeong, Chun, Jeon, and Nam: A case of prenatal diagnosis of congenital thoracic kidney in the third trimester with congenital diaphragmatic hernia
Case Report
Korean Journal of Obstetrics & Gynecology

Korean Journal of Obstetrics & Gynecology 2012; 55(12): 978-981.

Published online: 18 December 2012

DOI: https://doi.org/10.5468/KJOG.2012.55.12.978

A case of prenatal diagnosis of congenital thoracic kidney in the third trimester with congenital diaphragmatic hernia

Byung-Seob Park, MD1, Hyun-Jin Cho, MD1, Yong-Il Ji, MD1, Chul-Hoi Jeong, MD1, Sung-Wook Chun, MD1, Gyun-Ho Jeon, MD1, So-Hyun Nam, MD2

1Department of Obstetrics and Gynecology, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.

2Department of Pediatric Surgery, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.

Corresponding author: Hyun-Jin Cho, MD, PhD. Department of Obstetrics and Gynecology, Inje University Haeundae Paik Hospital, Inje University College of Medicine, 875 Haeun-daero, Haeundae-gu, Busan 612-862, Korea. Tel: +82-51-797-0114, Fax: +82-51-797-1694, chohj@paik.ac.kr

Received 1 September 2012       Revised 22 October 2012       Accepted 22 October 2012

Copyright © 2012. Korean Society of Obstetrics and Gynecology

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Congenital thoracic kidney is a rare congenital malformation, caused by renal malpositioning during embryogenesis or congenital diaphregmatic hernia with herniation of kidney. Prenatal diagnosis of congenital thoracic kidney has been only rarely reported, underlying congenital diaphragmatic hernia should always be suspected in cases of congenital thoracic kidney. We present a case in which the prenatal diagnosis of an ectopic intrathoracic kidney was made on routine anatomical survey at 29 weeks' gestation.

Keywords: Fetal ultasound, Intrathoracic kidney, Prenatal diagnosis

Figures and Tables

Fig. 1
Transverse sonograms of the fetal thorax on prenatal sonographic examination at 29 weeks demonstrate the ectopic kidney (K) in the left hemithorax, compressed left lung (L), mild right shift of the heart (H).
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Fig. 2
Coronal sonographic view of the fetus. Color Doppler imaging demonstrates the left renal artery entering the thorax to feed the ectopic intrathoracic kidney (white arrow), and normal right renal artery entering the right kidney (hollowed arrow).
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Fig. 3
Intrathoracic kidney with congenital diaphragmatic hernia on postnatal X-ray (white arrows).
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Fig. 4
Left thoracic kidney on thoracoscopy (white arrows). D, diaphragm; L, left lung; K, left kidney.
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