{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T16:43:36Z","timestamp":1776098616278,"version":"3.50.1"},"reference-count":20,"publisher":"Federacion Colombiana de Obstetricia y Ginecologia","issue":"3","license":[{"start":{"date-parts":[[2023,9,30]],"date-time":"2023-09-30T00:00:00Z","timestamp":1696032000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2023,9,30]],"date-time":"2023-09-30T00:00:00Z","timestamp":1696032000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["revista.fecolsog.org"],"crossmark-restriction":false},"short-container-title":["Rev. colomb. obstet. ginecol."],"abstract":"<jats:p>Objetivos: reportar un caso de diagn\u00f3stico prenatal de ri\u00f1\u00f3n ect\u00f3pico intrator\u00e1cico (REI) con hernia diafragm\u00e1tica y manejo quir\u00fargico neonatal, y hacer una revisi\u00f3n de la literatura sobre diagn\u00f3stico prenatal de REI y el pron\u00f3stico perinatal.\nMateriales y m\u00e9todos: se reporta el caso de un feto de 28 semanas en el que se observ\u00f3 imagen ecogr\u00e1fica sugestiva de masa en hemit\u00f3rax derecho que desplazaba coraz\u00f3n y pulm\u00f3n; se confirm\u00f3 que correspond\u00eda a un ri\u00f1\u00f3n intrator\u00e1cico. Por laparoscopia, al reci\u00e9n nacido se le coloc\u00f3 una malla en continuidad con el diafragma dejando el ri\u00f1\u00f3n en el abdomen, con buena evoluci\u00f3n. Se realiz\u00f3 una b\u00fasqueda bibliogr\u00e1fica en PubMed, Embase y Cochrane. Se buscaron cohortes, reportes y series de caso de gestaciones con diagn\u00f3stico prenatal de ri\u00f1\u00f3n intrator\u00e1cico fetal. Se extrajo informaci\u00f3n del dise\u00f1o, la poblaci\u00f3n, el diagn\u00f3stico por im\u00e1genes, el tratamiento y el pron\u00f3stico.\nResultados: en la b\u00fasqueda se identificaron 8 estudios que cumplieron con los criterios de inclusi\u00f3n y que informan en total ocho casos. El diagn\u00f3stico ecogr\u00e1fico mostr\u00f3 REI asociado a hernia diafragm\u00e1tica en todos los sujetos. Se utiliz\u00f3 tambi\u00e9n la RM fetal en cinco casos. Seis neonatos sobrevivieron sin complicaciones, en uno hubo interrupci\u00f3n voluntaria del embarazo, y otro present\u00f3 sepsis y dificultad respiratoria, finalmente fue dado de alta en buenas condiciones.\nConclusiones: el REI es una anomal\u00eda cong\u00e9nita susceptible de diagn\u00f3stico prenatal. La sobrevida a la cirug\u00eda correctora en el periodo neonatal es frecuente. La literatura disponible en torno al diagn\u00f3stico prenatal de REI es escasa y se limita a reportes de casos.<\/jats:p>","DOI":"10.18597\/rcog.4020","type":"journal-article","created":{"date-parts":[[2023,10,9]],"date-time":"2023-10-09T17:20:00Z","timestamp":1696872000000},"page":"237-243","update-policy":"https:\/\/doi.org\/10.18597\/crossmark","source":"Crossref","is-referenced-by-count":0,"title":["Ri\u00f1\u00f3n tor\u00e1cico y hernia diafragm\u00e1tica: diagn\u00f3stico prenatal y manejo exitoso. Reporte de caso y revisi\u00f3n de la literatura","Thoracic kidney and diaphragmatic hernia: prenatal diagnosis and successful management. Case report and review of the literature"],"prefix":"10.18597","volume":"74","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-4772-2607","authenticated-orcid":false,"given":"Mario Fernando","family":"Ortega-Mafla","sequence":"first","affiliation":[{"name":"Cl\u00ednica Farallones, Cali (Colombia)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-3715-374X","authenticated-orcid":false,"given":"Valerye","family":"Viveros-Gonzalez","sequence":"additional","affiliation":[{"name":"Universidad del Valle, Cali (Colombia)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7815-4390","authenticated-orcid":false,"given":"Wilmar","family":"Saldarriaga-Gil","sequence":"additional","affiliation":[{"name":"Universidad del Valle, Cali (Colombia)."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"7913","published-online":{"date-parts":[[2023,9,30]]},"reference":[{"key":"94779","doi-asserted-by":"crossref","unstructured":"Donat S, Donat P. 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