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A Rare Anatomical Variation: Intrathoracic Liver Caudate Lobe: A Case Report
Beyza Yaşar Akpınar1, Hüseyin Umut Baştürk1, Şeyma Başlılar1
1Department of Pulmonary Medicine, University of Health Sciences Sultan Abdulhamid Han Training and Research Hospital, İstanbul, Türkiye.
Archives of Iranian Medicine
|February 1, 2025
Summary
A rare intrathoracic caudate lobe herniated into the chest cavity, presenting as a soft tissue mass. Imaging confirmed this liver anomaly, mimicking a pleural tumor in a woman with chest pain.
Area of Science:
- Radiology
- Gastroenterology
- Thoracic Surgery
Background:
- Intrathoracic herniation of abdominal organs is uncommon.
- The caudate lobe of the liver can exceptionally protrude into the thoracic cavity.
- Diagnosis can be challenging due to atypical presentation.
Purpose of the Study:
- To report a rare case of intrathoracic caudate lobe.
- To highlight diagnostic imaging findings.
- To differentiate from thoracic masses.
Main Methods:
- Computed tomography (CT) pulmonary angiography.
- Magnetic resonance imaging (MRI).
Main Results:
- CT revealed a paravertebral soft tissue mass suspicious for a pleural tumor.
- Coronal view showed protrusion into the abdomen with liver-like density.
- MRI confirmed the intrathoracic caudate lobe diagnosis.
Conclusions:
- Intrathoracic caudate lobe is a rare differential diagnosis for chest masses.
- Advanced imaging (CT, MRI) is crucial for accurate diagnosis.
- Prompt identification prevents misdiagnosis and unnecessary interventions.
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