Renal Replacement by Thoracic Approach in Traumatic Diaphragmatic Hernia with Thoracic Kidney: Case Report

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Published: Aug 8, 2023
DOI: https://doi.org/10.47191/ijmscrs/v3-i8-20
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Domínguez Alvarado, Frineé Paulina
General Surgery Service, Hospital General Regional No. 1, Morelos Unit, IMSS.
Ochoa Alvarado, Xiomara Cristina
General Surgery Service, Hospital GENERAL Dr. Jesús Kumate Rodríguez.
Valverde Arévalo Alejandra
General Medicine.
Gutiérrez Rentería, Juan Pablo
Cardiothoracic Surgery Service, Hospital General Regional No.1, Unidad Morelos, IMSS.

Abstract

An acquired diaphragmatic hernia usually occurs after thoracoabdominal trauma, causing a defect in the diaphragm that allows the migration of intraperitoneal structures into the thoracic cavity. The finding of renal involvement has a low incidence. The diagnosis of diaphragmatic hernias is based on chest x-ray and computed tomography. Treatment is surgical, due to the risk of strangulation, and consists of content reduction, resection of the sac, and closure of the hernia defect. It can be performed through the thoracic or abdominal approach, with an increasing number of minimally invasive techniques, which reduce trans and postoperative complications. We present the case of a patient with a diagnosis of late-onset post-traumatic diaphragmatic hernia with renal involvement, treated surgically through a thoracic approach with an attempt to preserve the kidneys, who finally underwent nephrectomy due to urinoma secondary to a lesion of the renal pelvis during the mobilization of the kidney to the abdominal cavity.

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How to Cite
Domínguez Alvarado, Frineé Paulina, Ochoa Alvarado, Xiomara Cristina, Valverde Arévalo Alejandra, & Gutiérrez Rentería, Juan Pablo. (2023). Renal Replacement by Thoracic Approach in Traumatic Diaphragmatic Hernia with Thoracic Kidney: Case Report. International Journal of Medical Science and Clinical Research Studies, 3(8), 1560–1564. https://doi.org/10.47191/ijmscrs/v3-i8-20
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Vol. 3 No. 8 (2023): Volume 03 Issue 08 August 2023
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