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CASE REPORT
Year : 2014  |  Volume : 13  |  Issue : 3  |  Page : 193-196

99m Tc dtpa renogram indentifies bochdalek hernia with an intra thoracic kidney as its content


Department of Nuclear Medicine and PETCT, Amrita Institute of Medical Sciences, Cochin, Kerala, India

Correspondence Address:
Subramanyam Padma
Clinical Professor, Department of Nuclear Medicine and PETCT, Amrita Institute of Medical Sciences, Cochin -41, Kerala
India
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DOI: 10.4103/1450-1147.144821

PMID: 25538492

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Congenital diaphragmatic hernia (CDH) is a rare anomaly with reported incidence of 1 in 16,000 and is associated with herniation of stomach, intestinal loops, spleen, and kidney through a chest wall defect. We report a case of 1-year-old male child with history of recurrent fever and non-visualization of left kidney on ultrasonogram. Patient was referred to us to look for ectopic left kidney. 99m Tc-diethylenetriaminepentaacetic acid renogram was performed. An ectopically placed intrathoracic left kidney was identified. Subsequently a chest X-ray was done that showed bowel loops and diagnosis of CDH was confirmed. The patient underwent thoracoscopic repair of CDH and hernial contents were found to be left kidney, intestinal loops and spleen.


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