Silent Tachypnoea in a Neonate: A Rare Presentation of Right Side Bochdalek Hernia with Intrathoracic Kidney

Congenital Diaphragmatic Hernia (CDH) is a rare condition. The reported incidence of intrathoracic renal ectopia due to CDH is also rare. A right-sided thoracic kidney is much less common due to the location of the liver. Isolated intrathoracic kidney is usually asymptomatic and diagnosed incidentally on chest imaging. The authors report on a 21-day-old-female infant with late-presenting right sided congenital diaphragmatic hernia associated with intrathoracic ectopic kidney and adrenal gland. Prenatal ultrasound showed no pathology. A female baby was investigated for silent tachypnoea, a chest X-ray confirmed the diagnosis of congenital diaphragmatic hernia, the postnatal ultrasound revealed a right-sided kidney herniation. On Computed Tomography (CT) scan intrathoracic ectopic kidney was diagnosed. CDH is a delivery room emergency. This case had complex anatomy of right side CDH and intrathoracic kidney and presentation was only tachypnoea. Hence we are reporting this case.