Department of Ultrasound, West China Second University Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.
Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, 610041, Sichuan, China.
Arch Gynecol Obstet. 2024 Jun;309(6):2911-2912. doi: 10.1007/s00404-024-07449-7. Epub 2024 Mar 9.
A 29-year-old primigravida at 31 weeks of gestation was referred for intrathoracic kidney (ITK). Ultrasound revealed left kidney intrathoracic placement with an anteriorly positioned ectopic adrenal gland. Magnetic resonance imaging confirmed diaphragmatic interruption and colon herniation. A female neonate, delivered at 37 weeks, underwent successful thoracoscopic repair for a left Bochdalek hernia. Despite compression of the left lung, notably optimistic lung-to-head ratio (LHR) values were observed, correlating with favorable outcomes. This case underscores the rare occurrence of ITK, its association with Bochdalek hernia, and the importance of comprehensive prenatal evaluations.
一位 29 岁、初产妇、妊娠 31 周时被转诊至我院进行胸腔内肾（ITK）检查。超声显示左肾位于胸腔内，异位肾上腺位于前方。磁共振成像（MRI）证实膈肌中断和结肠疝入。一位女性新生儿在 37 周时分娩，成功接受了胸腔镜下左侧 Bochdalek 疝修补术。尽管左肺受压，但观察到明显乐观的肺头比（LHR）值，与良好的结局相关。该病例强调了 ITK 的罕见性、其与 Bochdalek 疝的关联，以及全面产前评估的重要性。
