RESUMEN

A 40 year old woman had undergone surgery as a newborn due to a left sided congenital Bochdalek hernia with the ventricle, spleen, left kidney and adrenal gland located intrathoracically. After three pregnancies, she developed left sided flank pain and dyspnea. A CT scan showed a diaphragmatic hernia with a malrotated intrathoracic placed left kidney with minimal hydronephrosis. The spleen was located caudally in the left iliac fossa; there were no other abnormalities. The patient underwent a thoracotomy with a small resection of the diaphragm in order to replace the kidney in the abdominal cavity and closure of the diaphragmatic defect with a Gore-Tex patch.

Asunto(s)

Anomalías Múltiples , Dolor en el Flanco/etiología , Hernias Diafragmáticas Congénitas/complicaciones , Riñón/anomalías , Anomalías Múltiples/cirugía , Adulto , Femenino , Hernias Diafragmáticas Congénitas/cirugía , Humanos , Riñón/cirugía , Tórax