Abstract
Paracardiac mass in a 55-year-old female - a case report of right-sided spontaneous diaphragmatic hernia
Highlights
Diaphragmatic hernias are commonly classified as either congenital or acquired and traumatic or non-traumatic
In view of the rarity of the lesion and its likely confusion with other diagnosis like a pulmonary or cardiac lesion, we present a case of non-traumatic liver herniation in a 55-yearold female patient whose chest x-ray showed a right homogenous paracardiac lesion
CT thorax with abdomen revealed a defect in the diaphragm through which segments 8 and 4a of the liver were seen herniating into the thoracic cavity (Figures 2 & 3)
Summary
Diaphragmatic hernias are commonly classified as either congenital or acquired and traumatic or non-traumatic. In view of the rarity of the lesion and its likely confusion with other diagnosis like a pulmonary or cardiac lesion, we present a case of non-traumatic liver herniation in a 55-yearold female patient whose chest x-ray showed a right homogenous paracardiac lesion. A 55-year-old female presented with worsening breathlessness over a 5-day period She gave history of low grade fever and cough for the same duration. The herniated liver was seen constricted by the diaphragm at the rupture site giving rise to the classical “cottage loaf sign”. She was managed with conservative measures and at present, she is awaiting surgical management of the liver herniation
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