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经胸壁超声心动图检查识别继发于先天性膈疝的胸腔内肾脏和肝脏

Intrathoracic kidney and liver secondary to congenital diaphragmatic hernia recognized by transthoracic echocardiography
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摘要 虽然膈的先天性缺陷常发生于出生后极早期,但仍有10%~20%的患者是在更晚被诊断的。伴有胸腔内肾脏的膈疝极为罕见。 Although congenital defects of the diaphragm often occur in the period immediately following birth,10-20%of these cases are diagnosed later. Diaphragmatic hernia with intrathoracic kidney is very rare. The radiographic appearance of diaphragmatic hernia with a thoracic kidney is similar to posterior mediastinal masses. Chest computed tomography(CT) is an important and efficient tool in confirming the diagnosis. We reported a 28-year-old man who suffered from nonspecific chest tightness for 1 month. He denied a history of traumatic chest injury. Transthoracic echocardiography revealed a left posterior reniform mass with central echo complex,which was finally confirmed by contrast-enhanced chest CT to be a congenital intrathoracic kidney.
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