Profound congenital diaphragmatic hernia with thoracic renal ectopia in an adolescent: A case report

Introduction: Congenital diaphragmatic hernia (CDH) is a rare, potentially life-threatening condition characterized by abdominal organs protruding into the thoracic cavity due to diaphragmatic abnormality. Presentation of Case: The 13-year-old male from Ahmedabad presented with increasingly worsening dyspnea and intermittent left-sided chest discomfort, diagnosed with a left-sided CDH involving the entire kidney, bowel loops, left splenic flexure, and pancreatic tail, undergoing successful exploratory laparotomy and closure of the defect with an uneventful recovery. Discussion: CDH, typically detected shortly after birth, could manifest with varied symptoms and was associated with life-threatening conditions but, in some cases, remained unidentified until adulthood, with potential risk factors including maternal factors and alternatives in diagnosis encompassing various thoracic conditions. Conclusion: The diaphragmatic defect requiressurgical management, highlighting the importance of safe surgical techniques and contributing to the limited documentation of cases in Gujarat, India.