Thoracoscopic repair for late-presenting congenital diaphragmatic hernia with thoracic kidney in a child.
congenital diaphragmatic hernia
kidney
thoracoscopic surgery
Journal
Asian journal of endoscopic surgery
ISSN: 1758-5910
Titre abrégé: Asian J Endosc Surg
Pays: Japan
ID NLM: 101506753
Informations de publication
Date de publication:
Jul 2023
Jul 2023
Historique:
received:
20
04
2023
accepted:
25
05
2023
medline:
4
7
2023
pubmed:
7
6
2023
entrez:
6
6
2023
Statut:
ppublish
Résumé
Congenital diaphragmatic hernia (CDH) with a hernia sac and thoracic kidney is a very rare congenital anomaly. Recently, the usefulness of endoscopic surgery for CDH has been reported. We herein report a patient who underwent thoracoscopic repair of CDH with a hernia sac and thoracic kidney. A 7-year-old boy was referred to our hospital due to a diagnosis of CDH without clinical symptoms. Computed tomography showed herniation of the intestine into the left thorax and left-sided thoracic kidney. The key points of operation are resection of the hernia sac and identification of the suturable diaphragm under the presence of the thoracic kidney. In the present case, after repositioning the kidney to the subdiaphragmatic area completely, the border of the diaphragmatic rim was clearly visualized. Good visibility allowed resection of the hernia sac without damaging the phrenic nerve and closure of the diaphragmatic defect.
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
640-643Informations de copyright
© 2023 Asia Endosurgery Task Force and Japan Society of Endoscopic Surgery and John Wiley & Sons Australia, Ltd.
Références
Bagłaj M. Late-presenting congenital diaphragmatic hernia in children: a clinical spectrum. Pediatr Surg Int. 2004;20:658-669. doi:10.1007/s00383-004-1269-5
Silen ML, Canvasser DA, Kurkchubasche AG, Andrus CH, Naunheim KS. Video-assisted thoracic surgical repair of a foramen of Bochdalek hernia. Ann Thorac Surg. 1995;60:448-450. doi:10.1016/0003-4975(95)00100-Y
Deguchi K, Watanabe M, Yoneyama T, et al. Tension-free thoracoscopic repair of congenital diaphragmatic hernia combined with a percutaneous extracorporeal closure technique: how to do it. Surg Today. 2023;53:640-646. doi:10.1007/s00595-022-02609-1
Donat SM, Donat PE. Intrathoracic kidney: a case report with a review of the world literature. J Urol. 1988;140:131-133. doi:10.1016/S0022-5347(17)41506-0
Obatake M, Nakata T, Nomura M, et al. Congenital intrathoracic kidney with right Bochdalek defect. Pediatr Surg Int. 2006;22:861-863. doi:10.1007/s00383-006-1772-y
Marhuenda C, Guillén G, Sánchez B, Urbistondo A, Barceló C. Endoscopic repair of late-presenting Morgagni and Bochdalek hernia in children: case report and review of the literature. J Laparoendosc Adv Surg Tech A. 2009;19:S95-S101. doi:10.1089/lap.2008.0175.supp
Gomes Ferreira C, Reinberg O, Becmeur F, et al. Neonatal minimally invasive surgery for congenital diaphragmatic hernias: a multicenter study using thoracoscopy or laparoscopy. Surg Endosc. 2009;23:1650-1659. doi:10.1007/s00464-009-0334-5
Yuan M, Li F, Xu C, et al. Thoracoscopic treatment of late-presenting congenital diaphragmatic hernia in infants and children. J Laparoendosc Adv Surg Tech A. 2019;29:77-81. doi:10.1089/lap.2018.0025
Tokumoto N, Tanabe K, Yamamoto H, Suzuki T, Miyata Y, Ohdan H. Thoracoscopic-assisted repair of a bochdalek hernia in an adult: a case report. J Med Case Reports. 2010;17(4):366. doi:10.1186/1752-1947-4-366