Proceedings of Singapore Healthcare (Jun 2012)

An Unusual Cause of Mediastinal Mass — A Case Report and Literature Review of Intrathoracic Kidney

  • Siew Le Chong MRCPCH (UK),
  • Sing Ming Chao MMED (Paeds), FAMS

DOI
https://doi.org/10.1177/201010581202100209
Journal volume & issue
Vol. 21

Abstract

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Posterior mediastinal mass is not an uncommon condition seen in clinical practice. It often generates anxiety among healthcare providers, as the most common cause of a posterior mediastinal mass is a neurogenic tumour which potentially can be malignant and carries serious consequences. A very rare but generally benign cause of such a mass is an intrathoracic ectopic kidney. Due to its rarity, literature on the intrathoracic kidney, its management, prognosis and complications is sparse and confined to case reports. We report a rare case of a two-month old baby who had a chest x-ray done for a prolonged cough and was found to have a posterior mediastinal mass, which was later diagnosed to be an intrathoracic ectopic kidney. The approach to mediastinal mass and literature review of an intrathoracic ectopic kidney and its complications are also discussed.