Jeong Ba-Da, Ahn Seo Hee, Song Ji-Won, Shim Jae-Yoon, Lee Mi-Young, Won Hye-Sung, Lee Pil-Ryang, Kim Ahm
Department of Obstetrics and Gynecology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
Obstet Gynecol Sci. 2016 Jan;59(1):58-61. doi: 10.5468/ogs.2016.59.1.58. Epub 2016 Jan 15.
We describe a case of an intrathoracic kidney combined with right congenital diaphragmatic hernia (CDH) that was diagnosed at 32 weeks of gestation. Although it has been well established that a right CDH shows a poorer outcome than a left CDH, our present case showed a good outcome because there was no herniation of other abdominal viscera, except for the right kidney. Our findings in this case indicate that impaction of the intrathoracic kidney may act as a 'shield' against further herniation of other abdominal viscera into the thoracic cavity.
我们描述了一例妊娠32周时诊断出的胸腔内肾脏合并右侧先天性膈疝（CDH）的病例。尽管已经明确右侧CDH的预后比左侧CDH差，但我们目前的这个病例预后良好，因为除了右肾外，没有其他腹腔脏器疝入。我们在这个病例中的发现表明，胸腔内肾脏的嵌塞可能起到了防止其他腹腔脏器进一步疝入胸腔的“屏障”作用。
