Nouri-Merchaoui S, Mahdhaoui N, Krichène I, Nouri A, Seboui H
Service de néonatologie, CHU Farhat Hached, Sousse, Tunisie.
Arch Pediatr. 2011 Oct;18(10):1103-6. doi: 10.1016/j.arcped.2011.07.006. Epub 2011 Aug 23.
Ectopic intrathoracic kidney is a very rare congenital anomaly, which is often asymptomatic and discovered incidentally on chest radiography. Diagnosis of this ectopia in the neonatal period is extremely rare. We report the case of a female infant admitted for mild respiratory distress at birth in relation with maternofetal infection in whom a right posterior opacity on chest x-ray was diagnosed as intrathoracic kidney by sonography and chest CT scan. Diaphragmatic hernia could not be confirmed at this stage. At 2 months, the presence of air blebs on chest x-ray performed for viral bronchiolitis confirmed an associated right Bochdalek hernia. The infant, although asymptomatic, underwent surgery. The intrathoracic kidney was reduced into the abdominal cavity at the time of surgery. The postoperative course was uneventful and renal function was normal.
胸腔内异位肾是一种非常罕见的先天性异常，通常无症状，常在胸部X线检查时偶然发现。在新生儿期诊断出这种异位情况极为罕见。我们报告一例女性婴儿，出生时因与母婴感染相关的轻度呼吸窘迫入院，胸部X线显示右后致密影，经超声和胸部CT扫描诊断为胸腔内肾。此时无法确诊为膈疝。2个月时，因病毒性细支气管炎进行的胸部X线检查发现有肺大疱，证实合并右侧Bochdalek疝。该婴儿虽无症状，但仍接受了手术。手术时将胸腔内肾还纳至腹腔。术后过程顺利，肾功能正常。
