Case Report on Diaphragmatic Hernia with Renal Ectopia as a Cause of Low Back Pain and Dyspnea
Juan Octaviano González Ambriz *
Department of Radiology, Hospital General "Dr. Miguel Silva", Morelia, México.
Agustín Parra Macías
Department of Radiology, Hospital General "Dr. Miguel Silva", Morelia, México.
*Author to whom correspondence should be addressed.
Abstract
Aims: In this case report, we evaluate a case of a diaphragmatic hernia with renal ectopia.
Presentation of Case: We present the case of an adult, male patient with low back discomfort and dyspnea, imaging techniques revealed a mediastinal mass and a large left diaphragmatic defect with renal ectopia.
Discussion: This case emphasizes the importance to rule out renal ectopia in individuals with atypical symptoms. Renal ectopia is a rare condition, becoming more frequent in adulthood because of the increased use of image acquisitions. A left diaphragmatic defect and an extension of the superior renal pole into the thorax were seen on our patient's imaging, which is consistent with intrathoracic renal ectopia. While many people with good renal function have no symptoms, issues including reflux and kidney stones can arise. In these circumstances, individualized, multidisciplinary care is required, and in more severe cases, surgery may be necessary.
Conclusion: Even though intrathoracic renal ectopia is uncommon, this case emphasizes the value of doing a thorough assessment, considering congenital defects such renal ectopia, in individuals presenting with atypical symptoms.
Keywords: Diaphragmatic hernia, renal ectopia, intrathoracic kidney, lumbalgia