Vol. 114, October Printed in U.S.A.
THE JOURNAL OF UROLOGY
Copyright © 1975 by The Williams & Wilkins Co.
INTRATHORACIC ECTOPIC KIDNEY: REPORT OF A CASE RAI\1IR,O IL LOZAJ\JO*
At-in
COI\JRADO RODRIGUEZ
l?rom, the Urological Service }Jepartrnent ol Surge:"'.}' and Radiotogyj Th:? Honcluran Socicd Security 1-Iospital) TeguciRalpa -0.C,, Republic of I-!onduras Central An-terica 1
1
ABSTRP.CT
A case of intrathoracic Intra thoracic be
and the literature is reviewed. The surgeon should before an
Since the first documented case of intra thoracic described Wolfroom in 1940, 1 39 cases have been ,•A,nn,n.an In a series of 13,000 auPrather found 1 case. 2 the first case to be combined
unusual. entity. case which was mass lesion detected on incidental chest roentgenogram.' We herein present an additional case.
DJSCUSSlON
intrathoracic kidney usually is asymptomatic. Most . , n , - - , n ° n cases have been in adults.' The condition bilateral, occurring most on the left side, and there is a marked preponderance of male patients. 6 Traumatic rupture of the diaphragm can lead to displacement the thorax simulate true is made
urinary tract. symptoms, and urinalstudies were normal. The and no
When there is a trauma an is performed to study the renal vasculature. Arterial and venous phases of a selective arteriogram can reveal unusually long but otherwise normal renal vessels. 3 Selective angiography is not requested routinely. Four features have been described as characteristic of congenital ectopia: 2 1) rotation anomaly, 2) long ureter, 3) anomalous high derivation of the renal vessels requiring ,,,,,uwv·ci to be which was not done in our patient. and 4) a medial deviation of the lower pole of the kidney as noted Gondos. 8 All of thes~ radiological findings were present in our patient and confirm that this is a true case of thoracic kidney. Previous have commented upon the blood of the ectopic kidney but in the 2 cases the renal vessels at a normal level. 9 • 10 The lower the hemidiathe earlier fusion of the
Hondu;-eno
understood. Hertz and Shahin have described an
CASE REPORT
A 28-vear-old Honduran white man was admitted to o~r for localized right lumbar 1 vear in duration. Before this admission he was se~n at another where an excretory urogram revealed a rotation cu,,v,,,w.,y of the left kidney. A routine chest film showed a rounded mass of the cardiac silhouette but continuwith the shadow of th
THE JOURNAL OF UROLOGY
Copyright © 1975 by The Williams & Wilkins Co.
INTRATHORACIC ECTOPIC KIDNEY: REPORT OF A CASE RAI\1IR,O IL LOZAJ\JO*
At-in
COI\JRADO RODRIGUEZ
l?rom, the Urological Service }Jepartrnent ol Surge:"'.}' and Radiotogyj Th:? Honcluran Socicd Security 1-Iospital) TeguciRalpa -0.C,, Republic of I-!onduras Central An-terica 1
1
ABSTRP.CT
A case of intrathoracic Intra thoracic be
and the literature is reviewed. The surgeon should before an
Since the first documented case of intra thoracic described Wolfroom in 1940, 1 39 cases have been ,•A,nn,n.an In a series of 13,000 auPrather found 1 case. 2 the first case to be combined
unusual. entity. case which was mass lesion detected on incidental chest roentgenogram.' We herein present an additional case.
DJSCUSSlON
intrathoracic kidney usually is asymptomatic. Most . , n , - - , n ° n cases have been in adults.' The condition bilateral, occurring most on the left side, and there is a marked preponderance of male patients. 6 Traumatic rupture of the diaphragm can lead to displacement the thorax simulate true is made
urinary tract. symptoms, and urinalstudies were normal. The and no
When there is a trauma an is performed to study the renal vasculature. Arterial and venous phases of a selective arteriogram can reveal unusually long but otherwise normal renal vessels. 3 Selective angiography is not requested routinely. Four features have been described as characteristic of congenital ectopia: 2 1) rotation anomaly, 2) long ureter, 3) anomalous high derivation of the renal vessels requiring ,,,,,uwv·ci to be which was not done in our patient. and 4) a medial deviation of the lower pole of the kidney as noted Gondos. 8 All of thes~ radiological findings were present in our patient and confirm that this is a true case of thoracic kidney. Previous have commented upon the blood of the ectopic kidney but in the 2 cases the renal vessels at a normal level. 9 • 10 The lower the hemidiathe earlier fusion of the
Hondu;-eno
understood. Hertz and Shahin have described an
CASE REPORT
A 28-vear-old Honduran white man was admitted to o~r for localized right lumbar 1 vear in duration. Before this admission he was se~n at another where an excretory urogram revealed a rotation cu,,v,,,w.,y of the left kidney. A routine chest film showed a rounded mass of the cardiac silhouette but continuwith the shadow of th
