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Published on: January 19, 2019
Ectopic Intrathoracic Hepatic Tissue and Accessory Lung Lobe Aplasia in a Dog
Rachel Lande1, Laura Dvorak1, David W Gardiner1
1From the PetPB Pet Emergency Clinic, Boynton Beach, FL (R.L.); Carolina Veterinary Specialists, Matthews, NC (R.L., L.D.); IDEXX Reference Laboratory, West Sacramento, CA (D.G.); and Pet Rays, Spring, TX (A.B.).
Abstract:
A 6 yr old male Yorkshire terrier was presented for an ~6 yr history of progressive cough and dyspnea. Thoracic radiographs revealed a 6 cm diameter mass within the right caudal thorax. Thoracic ultrasound identified an intrathoracic mass ultrasonographically consistent with liver tissue and a chronic diaphragmatic hernia was suspected. Exploratory laparotomy was performed, but no evidence of a diaphragmatic hernia was identified. Thoracic exploration identified abnormal lung parenchyma. The accessory lung lobe was removed using a stapling devise near its base. The consolidated mass had the gross appearance of liver and was histologically identified as ectopic hepatic tissue. Ectopic hepatic tissue, unlike ectopic splenic and pancreatic tissue, is rare and generally has a subdiaphragmatic distribution. This solitary case report demonstrates that ectopic intrathoracic hepatic tissue should be considered a differential diagnosis for a caudal mediastinal mass.

