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

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 metas...

Full description

Saved in:
Bibliographic Details
Published in:Radiology case reports 2021-11, Vol.16 (11), p.3426-3430
Main Authors: Di Mari, Alessia, Failla, Giovanni, Farina, Renato, Conti, Andrea, Foti, Pietro, Pennisi, Isabella, Tallamona, Eliana, Inì, Corrado, Tuzza, Greta, Vasile, Tiziana, Basile, Antonio
Format: Article
Language:English
Subjects:
Case Report
Diaphragmatic Defect
Diaphragmatic Hernia
Incidentally Found
Liver Herniation
Pulmonary Nodules
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary: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.
ISSN:1930-0433
1930-0433
DOI:10.1016/j.radcr.2021.07.097