Clinical Image
Ectopic Intrathoracic Liver Tissue
Tejido hepático ectópico intratorácico
Carmen María Rodríguez Gómez
, Xavier Baldó Padró, Matilde Rubio Garay
Corresponding author
Servicio de Cirugía Torácica, Hospital Josep Trueta, Girona, Spain
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(B) Hepatic tissue with mild steatosis, immersed in a fibroconnective tissue coated with mesothelial cellularity (diaphragmatic parietal pleura) (H&E 20×).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">During the examination of a 46-year-old woman for a second episode of right spontaneous pneumothorax, two right supradiaphragmatic nodules were observed on chest X-ray (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A). Thoracoscopy was performed for resection of the apical emphysema, during which the non-friable nodules located in the central tendon of the right hemidiaphragm were biopsied. They were of whitish appearance, well-defined, covered with parietal pleura, and measured less than 2<span class="elsevierStyleHsp" style=""></span>cm. Pathology findings reported liver tissue with mild steatosis, immersed in a fibroconnective tissue coated with mesothelial cellularity (diaphragmatic parietal pleura) (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Ectopic liver tissue occurs at an incidence of less than 0.5% and is detected as a chance finding from small pleural or subpleural nodules on a chest X-ray performed for another reason. Histopathologic confirmation is required for a definitive diagnosis.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Ectopic liver tissue behaves like normal liver tissue and, as such, may be affected by liver viruses, fatty degeneration, cirrhosis, hemosiderosis, or metastatic implants<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a>; however, the absence of a complete vascular and ductal system, makes them more prone to developing hepatocellular carcinoma.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a></p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Rodríguez Gómez CM, Padró XB, Garay MR. Tejido hepático ectópico intratorácico. Arch Bronconeumol. 2018;54:429.</p>" ] ] "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1188 "Ancho" => 2500 "Tamanyo" => 356262 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Chest X-ray showing two right supradiaphragmatic nodules (arrows). (B) Hepatic tissue with mild steatosis, immersed in a fibroconnective tissue coated with mesothelial cellularity (diaphragmatic parietal pleura) (H&E 20×).</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:2 [ 0 => array:3 [ "identificador" => "bib0015" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Cystic mesenchymal hamartoma arising in intrathoracic heterotopic liver: a case report" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "D. Antoniou" 1 => "M. Soutis" 2 => "O. Karentzou" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.jpedsurg.2012.07.057" "Revista" => array:6 [ "tituloSerie" => "J Pediatr Surg" "fecha" => "2012" "volumen" => "47" "paginaInicial" => "e49" "paginaFinal" => "e51" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23164032" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Hígado ectópico intratorácico izquierdo con cirrosis micro y macronodular" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "M.A. Huerta-Solís" 1 => "J.M. Galicia-Ramos" 2 => "R. Carrillo-Ruiz" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Rev Mex Patol Clin" "fecha" => "2010" "volumen" => "57" "paginaInicial" => "143" "paginaFinal" => "147" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000005400000008/v1_201808020514/S1579212918301770/v1_201808020514/en/main.assets" "Apartado" => array:4 [ "identificador" => "21342" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Clinical Image" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/15792129/0000005400000008/v1_201808020514/S1579212918301770/v1_201808020514/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212918301770?idApp=UINPBA00003Z" ]
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