PMC7577787_01
Intrathoracic kidney along with mutiple loops of small bowel.
10-1055-s-0039-3402741-i190460cr-1.jpg
PMC7577787_01_10-1055-s-0039-3402741-i190460cr-1.jpg
FI190460cr-1
The examination confirmed the CT findings ( Fig. 1 ).
Reduction of intrathoracic kidney.
10-1055-s-0039-3402741-i190460cr-2.jpg
PMC7577787_01_10-1055-s-0039-3402741-i190460cr-2.jpg
FI190460cr-2
The herniated large and small bowel was pushed and reduced into the abdominal cavity through the diaphragmatic defect which then revealed a completely intrathoracic kidney encased in Gerota's fascia ( Fig. 2 ). 
Posterolateral diaphragmatic defect.
10-1055-s-0039-3402741-i190460cr-3.jpg
PMC7577787_01_10-1055-s-0039-3402741-i190460cr-3.jpg
FI190460cr-3
 The kidney was then reduced into the abdominal cavity retroperitoneally by pushing it down through the diaphragmatic defect ( Fig. 3 ).
Primary closure of diaphragmatic defect.
10-1055-s-0039-3402741-i190460cr-4.jpg
PMC7577787_01_10-1055-s-0039-3402741-i190460cr-4.jpg
FI190460cr-4
A primary repair using interrupted nonabsorbable sutures was achieved without tension ( Fig. 4 ).