Ectopic Intrathoracic Kidney Along with Right Anterior Diaphragmatic Hernia

Abstract

Intra-thoracic kidney (ITK) is a very rare congenital dis-ease which is considered as an uncommon type of renal ec-topia (1). ITK accounts for 0.1% of the total renal ectopiacases and it is twice as common in men as women. Ad-ditionally, ITK in the left hemi thorax is twice as commonas on the right (2). Although ITK can be asymptomatic inthe most of the cases, it is important to distinguish it fromother significant conditions, such as pulmonary massesetc. (3). In this article we report a 5 years old female patientwith right sided ITK which presented with chronic respira-tory symptoms.A 5-year-old female was brought to the general surgeryclinic with chronic respiratory symptoms including occa-sional non-productive coughs since birth. The patient wasreferred to the radiology department and chest X-ray wascarried out. There was no history of fever, trauma, surgeryor underlying disease (such as renal dysfunction, respira-tory distress or gastrointestinal diseases). On the chest X-ray, there was an ill-defined opacity in the lower zone of theright hemi thorax (Figure 1). In the abdominal sonography,there was no right kidney in the anatomical position andpelvis. Also, there was a suspicious view of the diaphrag-matic defect in the anterior part of the diaphragmatic mus-cle in the right hemi-thorax.