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Research: Non traumatic intrathoracic liver herniation mimicking a pulmonary metastasis in patient with breast cancer: A case report

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Research: Non traumatic intrathoracic liver herniation mimicking a pulmonary metastasis in patient with breast cancer: A case report

Radiol Case Rep

. 2021 Sep 5;16(11):3426-3430. doi: 10.1016/j.radcr.2021.07.097. eCollection 2021 Nov. https://pubmed.ncbi.nlm.nih.gov/34522281/

Non traumatic intrathoracic liver herniation mimicking a pulmonary metastasis in patient with breast cancer: A case report

Alessia Di Mari 1Giovanni Failla 2Renato Farina 1Andrea Conti 1Pietro Foti 1Isabella Pennisi 1Eliana Tallamona 1Corrado Inì 1Greta Tuzza 1Tiziana Vasile 1Antonio Basile 1Affiliations expand

Free PMC article

Abstract

Non-traumatic hepatic hernia is defined as hepatic protrusion through acquired or congenital defects on diaphragm without prior trauma. This event is rare among adults and infrequently reported in literature. 52-year-old Caucasian woman with surgically treated breast cancer with suspected lung metastasis detected during a routine Multidetector Computed Tomography lung exam. Ultrasound and subsequently Magnetic Resonance Imaging (MRI) was performed which revealed an overdiaphragmatic mass in contiguity with liver parenchyma compatible with overdiaphragmatic hepatic hernia. Differential diagnosis should be made with diaphragmatic or pulmonary nodule. Correct diagnosis can avoid further diagnostic investigations or invasive procedures such as biopsy. Magnetic Resonance Imaging is a non-risky method and can clarify interpretative doubts. Currently there are still controversies about traumatic or idiopathic nature of this hernia.

Keywords: Diaphragmatic Defect; Diaphragmatic Hernia; Incidentally Found; Liver Herniation; Pulmonary Nodules.

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