Right-sided high origin of diaphragm associated with accessory lobe of liver, lobulated right atrial appendage, and ipsilateral phrenic nerve hamartoma: a case report.
A case of a rare condition of congenital right anterior high origin of the diaphragm in a stillborn fetus is reported. Associated findings at autopsy were a hornlike subdiaphragmatic intrathoracic accessory lobe of the liver and a lobulated right atrial appendage of the heart. At the superiormost aspect of the malpositioned right anterior diaphragmatic leaf a small phrenic nerve hamartoma was found. The phrenic nerve itself appeared small and not well developed. The phrenic nerve lesion may have been a concomitant or secondary hamartomatous change. Careful clinical and pathological search for concomitant anomalies in diaphragmatic lesions is emphasized.
Kasznica
J
J
Mallory Institute of Pathology, Boston University School of Medicine, MA 02118, USA.
Van Praagh
R
R
Philip
A T
AT
D003964:Diaphragm / Q000002:abnormalities*; D005260:Female; D005313:Fetal Death; D006222:Hamartoma / Q000473:pathology*; D006325:Heart Atria / Q000002:abnormalities*; D006330:Heart Defects, Congenital / Q000473:pathology; D006801:Humans; D008099:Liver / Q000002:abnormalities*; D010791:Phrenic Nerve / Q000473:pathology*