Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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Supradiaphragmatic Heterotopic Liver Presenting as a Pleural Mass: A Case Report

  • An, Jung-Suk (Department of Pathology, Gachon University Gil Hospital) ;
  • Han, Joung-Ho (Department of Pathology, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Lee, Kyung-Soo (Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Choi, Yong-Soo (Department of Thoracic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • Received : 2010.02.14
  • Accepted : 2010.06.18
  • Published : 2010.09.30
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Abstract

Abnormally located liver tissue has been described in the vicinity of the liver proper, near anatomical structures such as the gallbladder, the umbilical fossa, the adrenal gland, the pancreas, and the spleen. Supradiaphragmatic ectopic liver is a rare finding, but has been reported to have been found in the intrathoracic cavity and in the pericardium. In the majority of supradiaphragmatic ectopic liver cases, there was an accompanying transdiaphragmatic pedicle of the main liver body into the abdominal cavity. In a minority of supradiaphramatic ectopic liver cases, the liver was completely separated from the abdominal cavity without a connection between the thorax and the abdomen, with accompanying diaphragmatic anomalies. We describe one case of intrathoracic ectopic liver in a patient with a previous history of lower chest wall trauma, and a brief review of the English-language medical literature on this topic.

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References

  1. Lasser A, Wilson GL. Ectopic liver tissue mass in the thoracic cavity. Cancer 1975;36:1823-6. https://doi.org/10.1002/1097-0142(197511)36:5<1823::AID-CNCR2820360537>3.0.CO;2-G
  2. Mendoza A, Voland J, Wolf P, Benirschke K. Supradiaphragmatic liver in the lung. Arch Pathol Lab Med 1986;110:1085-6.
  3. Hansbrough ET, Lipin RJ. Intrathoracic accessory lobe of the liver. Ann Surg 1957;145:564-7. https://doi.org/10.1097/00000658-195704000-00014
  4. Le Roux BT. Heterotopic mediastinal thyroid. Thorax 1961;16:192-6. https://doi.org/10.1136/thx.16.2.192
  5. Sehdeva JS, Logan WD Jr. Heterotopic (supradiaphragmatic) liver. Ann Thorac Surg 1971;11:468-71. https://doi.org/10.1016/S0003-4975(10)65484-7
  6. Rendina EA, Venuta F, Pescarmona EO, Martelli M, Ricci C. Intrathoracic lobe of the liver: case report and review of the literature. Eur J Cardiothorac Surg 1989;3:75-8. https://doi.org/10.1016/1010-7940(89)90015-8
  7. Shapiro JL, Metlay LA. Heterotopic supradiaphragmatic liver formation in association with congenital cardiac anomalies. Arch Pathol Lab Med 1991;115:238-40.
  8. Kinnunen P, Kulmala P, Kaarteenaho-Wiik R, Vuopala K. Ectopic liver in the human pericardium. Histopathology 1997;30:277-9. https://doi.org/10.1046/j.1365-2559.1997.d01-602.x
  9. Iber T, Rintala R. Intrapulmonary ectopic liver. J Pediatr Surg 1999;34:1425-6. https://doi.org/10.1016/S0022-3468(99)90028-3
  10. Babu R, Van der Avoirt A. Ectopic intrathoracic liver. Pediatr Surg Int 2001;17:461-2. https://doi.org/10.1007/s003830000520
  11. Luoma R, Raboei E. Supradiaphragmatic accessory liver: a rare cause of respiratory distress in a neonate. J Pediatr Surg 2003;38:1413-4. https://doi.org/10.1016/S0022-3468(03)00412-3
  12. Huang CS, Hsu WH, Hsia CY. Supradiaphragmatic ectopic liver: delayed traumatic hepatic hernia mimics pulmonary tumor. Thorac Cardiovasc Surg 2007;55:277-8. https://doi.org/10.1055/s-2006-924624
  13. Choi SU, Kim HK, Kim J. Heterotopic supradiaphragmatic liver combined with intralobar pulmonary sequestration. Ann Thorac Surg 2008;85:1809-10. https://doi.org/10.1016/j.athoracsur.2007.11.040
  14. Hudson TR, Brown HN. Ectopic (supradiaphragmatic) liver. J Thorac Cardiovasc Surg 1962;43:552-5.
  15. Collan Y, Hakkiluoto A, Hastbacka J. Ectopic liver. Ann Chir Gynaecol 1978;67:27-9.

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