Abstract

A term male baby, after delivery, was found to have a 3-centimeter beefy-red mass protruding from the left chest wall, adjacent to the left nipple. Radiological imaging suggested it’s origin from the left lateral liver segment. A diagnostic laparoscopy confirmed the isolated connection to the liver, elevated left hemidiaphragm, and protrusion between the ribs. The mass was excised using electrocautery, and pathologic examination showed normal liver tissue.

Highlights

  • A term male baby, after delivery, was found to have a 3-centimeter beefy-red mass protruding from the left chest wall, adjacent to the left nipple

  • Physical exam was notable for a left accessory nipple as well as a 3.3-centimeter exophytic mass at the midclavicular line on the left chest (Fig.1)

  • Alpha fetoprotein (AFP) was 59,622 IU/mL, which was within the normal limits for the age

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Summary

Introduction

A term male baby, after delivery, was found to have a 3-centimeter beefy-red mass protruding from the left chest wall, adjacent to the left nipple. Physical exam was notable for a left accessory nipple as well as a 3.3-centimeter exophytic mass at the midclavicular line on the left chest (Fig.1). Chest radiograph demonstrated mild displacement of mediastinum to the right and the left hemidiaphragm was elevated. Abdominal ultrasound demonstrated normal hepatic blood flow without biliary dilation.

Results
Conclusion

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