Intrathoracic ectopic kidney with pulmonary sequestration: clinical and surgical insights: a case report

Intrathoracic ectopic kidney is an extremely rare congenital defect that is frequently identified by accident because it is asymptomatic. Even more unusual is its link to pulmonary sequestration alone. This case report describes the clinical presentation of a 7-month-old child with a history of recurrent respiratory distress and chest infections since birth, who had shortness of breath, failure to thrive, and delayed developmental milestones. The clinical examination and imaging revealed an ectopic right kidney in the thoracic cavity, as well as a probable sequestered lung lobe. Thoracotomy revealed a healthy right lung with a collapsed lower lobe connected to the ectopic kidney. The right lower third lobe was released to be in its normal appearance and the sequestration vessels were ligated. The patient recovered smoothly after surgery, with the exception of a brief episode of pneumonia that was treated. The patients follow up confirmed complete recovery without complications.