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Images of Memorable Cases: Case 53

Module by: Herbert L. Fred, MD, Hendrik A. van Dijk. E-mail the authorsEdited By: Frederick Moody

http://rup.rice.edu/memcases-button.jpg

Case_53-pres1-1.jpg Case_53-pres1-2.jpg

Chest radiographs of an asymptomatic 36-year-old man with normal physical findings.

The radiographs show that the large right paracardiac mass represents bowel that has herniated anteriorly into the chest, presumably through a congenital diaphragmatic defect involving the Foramen of Morgagni. A computed tomographic scan (image below) confirmed the diagnosis.

Such herniation typically occurs on the right but can be left-sided or bilateral. Surgical repair is recommended in most cases to prevent obstruction or strangulation of the bowel.

Case_53-diag1-1.jpg

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