FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4250014096> ?p ?o ?g. }

• W4250014096 endingPage "251" @default.
• W4250014096 startingPage "250" @default.
• W4250014096 abstract "Letters to the EditorIntrathoracic Kidney Mahmoud AshourFRCS Mahmoud Ashour Assistant Professor of Thoracic Surgery, Department of Surgery (37), College of Medicine and King Khalid University Hospital, King Saud University, P. O. Box 2925, Riyadh 11461, Saudi Arabia Search for more papers by this author Published Online:1 Jul 1987https://doi.org/10.5144/0256-4947.1987.250SectionsPDF ToolsAdd to favoritesDownload citationTrack citations ShareShare onFacebookTwitterLinked InRedditEmail AboutIntroductionIntrathoracic kidney is a rare entity, and this anomaly has not been reported previously in Saudi Arabia. The aim of presenting this case is to emphasize that intrathoracic kidney should be considered in the differential diagnosis of a posterior mediastinal mass, and also to make surgeons aware of this anomaly so that the correct diagnosis can be made and an ill-advised thoracotomy will not be performed.The patient is a 30-year-old Saudi lady, married with five children. She was first seen in our Orthopedic Clinic on 1 January 1986, because of mid-back pain for ten years. The pain was fairly localized. Skeletal and central nervous system examination revealed no abnormal findings.The chest X-ray demonstrated a large, posterior mediastinal mass which appeared to be partly below the diaphragm but was mainly above it (Figure 1).Figure 1. Radiograph of the chest showing a low mediastinal mass in the left hemithorax. The mass is seen partly below the diaphragm but mainly above it.Download FigureOn 3 March 1986, the patient was referred to the Chest Surgery Clinic with the diagnosis of posterior mediastinal mass. Computed tomography of the chest showed that the left kidney occupied an intrathoracic location (Figure 2). No Bochdalek hernia was seen. Intravenous pyelogram revealed the intrathoracic kidney to be functioning normally, though malrotation was noticed (Figure 3). Electromyography of left intercostal muscles in the vicinity of the pain was performed. This showed no resting activity; the recruitment pattern was normal; and the motor unit potential was of normal configuration, amplitude and duration.Figure 2. Computed tomography of chest showing the left kidney in the intrathoracic location.Download FigureFigure 3. Intravenous pyelogram revealing the left intrathoracic kidney which is functioning normally and in a state of malrotation.Download FigureThe patient was assured that although the left kidney was intrathoracic, it was functioning normally. She was advised to take paracetamol tablets to control her pain.The majority of reported cases of intrathoracic kidney have been diagnosed incidentally during the investigation of unrelated disease.1,9The mechanism by which a kidney assumes the mediastinal location is not clear. Berkowitz postulated that failure of the pleuroperitoneal foramen to close might be the reason for the anomaly to occur.8 Lundius, on the other hand, suggested that the ascent of the kidney may continue cranially and pass through the diaphragm which then closes below or around the kidney.12A Bochdalek hernia was seen in conjunction with two cases of intrathoracic kidney.9 Bilateral intrathoracic kidneys are also known to occur, as described by Lundius.12Intrathoracic kidneys function normally, with no evidence of dysplasia, contralateral hypertrophy or obstructive uropathy.9 Suprarenal glands are not necessarily abnormally located. It is extremely rare to find a suprarenal gland above the superior pole of the intrathoracic kidney.13The methods employed to confirm the diagnosis of intrathoracic kidney differ from one medical center to another. While Morcos used ultrasonography only,1 Williams and Rao employed radionuclide renography to confirm the diagnosis.3,6 On the other hand, Kirshenbaum and Moazzenzadeh have used intravenous pyelogram to establish the diagnosis.7,10 Grenadir relied only on computed tomography to make the diagnosis.5 I found computed tomography most helpful in the diagnosis of my case, while intravenous pyelogram was not essential.ARTICLE REFERENCES:1. Morcos SK. Intrathoracic kidney with a simple cyst in its upper pole diagnosed by ultrasound . JCU. 1985; 13(2):127–9. Google Scholar2. N'Guessen G, Stephens FD, Pick J. Congenital superior ectopic (thoracic) kidney . Urology. 1984; 24(3):219–28. Google Scholar3. Williams AG, Christie JH, Mettler FA. Intrathoracic kidney on radionuclide renography: a case report . Clin Nucl Med. 1983; 8(9):408–9. Google Scholar4. Kadowaki K, Koshiba K, Ao T, Kanzaki M. Case profile: right intrathoracic kidney . Urology. 1983; 21(1):78–80. Google Scholar5. Grenadir DS, Larsen CR. Computed tomography of intrathoracic kidney . Urology. 1983; 22(l):85–7. Google Scholar6. Rao BR, Kirshenbaum KS, Puri HC, Winebright JW. Congenital intrathoracic kidney: a 5-year radionuclide follow-up . Eur J Nucl Med. 1981; 6(4):177–8. Google Scholar7. Kirshenbaum KS, Puri HC, Rao BR. Congenital intrathoracic kidney . J Urol. 1981; 125(3):412–3. Google Scholar8. Berkowitz RE. Foramen of Bochdalek hernia in an adult: case report . Military Medicine. 1981; 146:356–7. Google Scholar9. Ramos AJ, Slovis TL, Reed JO. Intrathoracic kidney . Urology. 1979; 13(1):14–9. Google Scholar10. Moazzenzadeh AZ, Khodadadian P, Potter RT. The intrathoracic kidney . J Thorac Cardiovasc Surg. 1977; 73(3):480–2. Google Scholar11. Schechter DC, Marquez CG. Asymptomatic right chest mass in an elderly woman . Chest. 1975; 68(2):231–2. Google Scholar12. Lundius B. Intrathoracic kidney . Am J Roentgenol. 1975; 125:678–81. Google Scholar13. Hill JE, Bunts RC. Thoracic kidney: case report . J Urol. 1960; 84(3):460–2. Google Scholar Previous article FiguresReferencesRelatedDetails Volume 7, Issue 3July 1987 Metrics History Published online1 July 1987 InformationCopyright © 1987, Annals of Saudi Medicine" @default.
• W4250014096 created "2022-05-12" @default.
• W4250014096 creator A5042380540 @default.
• W4250014096 date "1987-07-01" @default.
• W4250014096 modified "2023-10-16" @default.
• W4250014096 title "Intrathoracic Kidney" @default.
• W4250014096 cites W1980192789 @default.
• W4250014096 cites W1982194742 @default.
• W4250014096 cites W2004770923 @default.
• W4250014096 cites W2017324730 @default.
• W4250014096 cites W2027115483 @default.
• W4250014096 cites W2063578661 @default.
• W4250014096 cites W2402282575 @default.
• W4250014096 cites W2410641530 @default.
• W4250014096 cites W2411448593 @default.
• W4250014096 cites W2416524497 @default.
• W4250014096 cites W4251734874 @default.
• W4250014096 cites W4252251892 @default.
• W4250014096 doi "https://doi.org/10.5144/0256-4947.1987.250" @default.
• W4250014096 hasPublicationYear "1987" @default.
• W4250014096 type Work @default.
• W4250014096 citedByCount "0" @default.
• W4250014096 crossrefType "journal-article" @default.
• W4250014096 hasAuthorship W4250014096A5042380540 @default.
• W4250014096 hasBestOaLocation W42500140961 @default.
• W4250014096 hasConcept C126838900 @default.
• W4250014096 hasConcept C141071460 @default.
• W4250014096 hasConcept C2778847313 @default.
• W4250014096 hasConcept C2781137159 @default.
• W4250014096 hasConcept C3018028637 @default.
• W4250014096 hasConcept C36454342 @default.
• W4250014096 hasConcept C61434518 @default.
• W4250014096 hasConcept C68312169 @default.
• W4250014096 hasConcept C71924100 @default.
• W4250014096 hasConceptScore W4250014096C126838900 @default.
• W4250014096 hasConceptScore W4250014096C141071460 @default.
• W4250014096 hasConceptScore W4250014096C2778847313 @default.
• W4250014096 hasConceptScore W4250014096C2781137159 @default.
• W4250014096 hasConceptScore W4250014096C3018028637 @default.
• W4250014096 hasConceptScore W4250014096C36454342 @default.
• W4250014096 hasConceptScore W4250014096C61434518 @default.
• W4250014096 hasConceptScore W4250014096C68312169 @default.
• W4250014096 hasConceptScore W4250014096C71924100 @default.
• W4250014096 hasIssue "3" @default.
• W4250014096 hasLocation W42500140961 @default.
• W4250014096 hasOpenAccess W4250014096 @default.
• W4250014096 hasPrimaryLocation W42500140961 @default.
• W4250014096 hasRelatedWork W1041259088 @default.
• W4250014096 hasRelatedWork W124864044 @default.
• W4250014096 hasRelatedWork W1964463040 @default.
• W4250014096 hasRelatedWork W2069692998 @default.
• W4250014096 hasRelatedWork W2130782160 @default.
• W4250014096 hasRelatedWork W2417296072 @default.
• W4250014096 hasRelatedWork W2463636345 @default.
• W4250014096 hasRelatedWork W2613338536 @default.
• W4250014096 hasRelatedWork W2909576218 @default.
• W4250014096 hasRelatedWork W2992429149 @default.
• W4250014096 hasVolume "7" @default.
• W4250014096 isParatext "false" @default.
• W4250014096 isRetracted "false" @default.
• W4250014096 workType "article" @default.