Silent Tachypnoea in a Neonate: A Rare Presentation of Right Side Bochdalek Hernia with Intrathoracic Kidney

Abstract

Congenital diaphragmatic hernia (CDH) is a rare condition. The reported incidence of intrathoracic renal ectopia due to CDH is also rare. A right-sided thoracic kidney is much less common due to the location of the liver. Isolated intrathoracic kidney is usually asymptomatic and diagnosed incidentally on chest imaging. The authors report on a 21days old female infant with late-presenting right sided congenital diaphragmatic hernia associated with intrathoracic ectopic kidney and adrenal gland. Prenatal ultrasound showed no pathology. A female baby was investigated for silent tachypnoea, a chest x-ray confirmed the diagnosis of congenital diaphragmatic hernia, the postnatal ultrasound revealed a right-sided kidney herniation. On computed tomography (CT) scan intrathoracic ectopic kidney was diagnosed. CDH is an delivery room emergency. This case had complex anatomy of right side CDH and intrathoracic kidney and presentation was only tachypnoea. Hence we are reporting this case.