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Ann Thorac Surg 2008;86:651-654. doi:10.1016/j.athoracsur.2008.02.036
© 2008 The Society of Thoracic Surgeons

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Case Reports

Bilateral Intrathoracic Kidneys and Adrenal Glands Associated With Posterior Congenital Diaphragmatic Hernias

Michael W. Dingeldein, MDa, Derek Kane, MDe, Anthony W. Kim, MDb, Rashmi Kabre, MDa, Maurice J. Pescitelli, Jr, PhDd,c, Mark J. Holterman, MD, PhDa,c,*

a Department of General Surgery, Rush University Medical Center, Chicago, Illinois
b Department of Cardiothoracic-Vascular Surgery, Rush University Medical Center, Chicago, Illinois
c Department of Surgery, University of Illinois at Chicago, Chicago, Illinois
d Department of Cell Biology and Anatomy, University of Illinois at Chicago, Chicago, Illinois
e Department of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin

Accepted for publication February 12, 2008.

* Address correspondence to Dr Holterman, 840 S Wood St, M/C 958, Department of Surgery, University of Illinois at Chicago, Chicago, IL 60612 (Email: rmasjet{at}uic.edu).

We present a case of bilateral intrathoracic kidneys and adrenal glands associated with bilateral posterior diaphragmatic defects in a symptomatic 18-month-old baby boy. The diaphragmatic defect did not appear to be the typical posterolateral diaphragmatic hernia of Bochdalek. The patient underwent primary surgical correction through an abdominal approach. Postoperatively, the patient enjoyed an uneventful course and was discharged home without any further events. We discuss this report of bilateral intrathoracic kidneys associated with bilateral diaphragmatic hernias, we describe the operative management, and we analyze the possible embryological development of this defect.







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