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Saucedo BJ, Castillo ChG, López VJF, Martínez RLA Riñón intratorácico: Comunicación de dos casos y revisión de la literatura. Rev Mex Urol 1997; 57(6): 254-258. Intrathoracic kidney. Communication of two cases and literatura review. ABSTRACT A case of an intrathoracic kidney in a female patient in neonatal period associated with the scimitar syndrome and dextrocardia and that of a male patient who was undergoing a study for lower urinary obstructive syndrome with incidental discovery of intrathoracic left kidney without radiological alteration except the abnormal situation is reported. The intrathoracic kidney is more frequent in the male sex and most common in the left side. There are four categories or types of intrathoracic kidneys: 1) intrathoracic kidney with normal dorsal diaphragm development, 2) eventration of the diaphragm, 3) diaphragmatic hernia (Bochdalek) as a congenital or acquired diaphragmatic defect and 4) traumatic diaphragmatic rupture with secondary renal ectopia. The prolonged ascension of the kidney is the most logical embriologic explanation. Except for the abnormal position, the function of intrathoracic kidney is normal and the urether provides an adequated drenage. Usually, it is asymptomatic and does not require surgical treatment. The differential radiologic diagnosis of the intrathoracic kidney includes thoracic or diaphragmatic tumors. Key words: Renal ectopy, intrathoracic kidney, scimitar syndrome. Key: Ur 76-5


Descrizione: Otolaryngology Head & Neck Surgery

Laryngeal problems in the scimitar syndrome

P. van den Broek and W.
Kersing The scimitar syndrome is a congenital anomaly of the venous system of the right lung.

This diagnosis is suspected when a scimitarlike shadow is found on the thoracic roentgenogram; the definitive diagnosis is made by angiography when an abnormal outflow of the venous system of the right lung is found. Dyspnea and recurrent infections are the most prominent clinical feature.

In a child with the scimitar syndrome, a laryngeal anomaly was found that caused stridor from birth onwards. A right-sided arytenoidectomy was performed with relief of all the symptoms. The follow-up period has been two years.
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