European Journal of Cardio-Thoracic Surgery, Vol 3, 75-78, Copyright © 1989 by European Association for Cardio-thoracic Surgery
Intrathoracic lobe of the liver. Case report and review of the literature
EA Rendina, F Venuta, EO Pescarmona, M Martelli and C Ricci
Department of Thoracic Surgery, University La Sapienza, Rome, Italy.
A case of a heterotopic intrathoracic lobe of the liver connected through a
normal diaphragm to the main organ by a vascular and biliary pedicle is
described. Eight similar cases reported in the literature are reviewed and
a comparative evaluation is undertaken to elucidate the correct clinical
diagnosis and the indications for operative exploration. Because the
occurrence of ectopic supradiaphragmatic hepatic tissue should be
considered, it is believed that the preoperative evaluation of a solid,
smooth lump in the diaphragmatic region should include gallium liver scans
prior to invasive procedures.