摘要：Diaphragmatic hernias are commonly classified as either congenital or acquired and traumatic or non-traumatic. Non-traumatic diaphragmatic hernia with liver herniation is extremely rare. In view of the rarity of this lesion and its likely confusion with other diagnosis like pulmonary or cardiac lesions, we present a case of non-traumatic liver herniation in a 55-year-old female patient. She presented with worsening breathlessness over a 5-day period. Chest x-ray revealed a large right homogenous paracardiac mass. Computed tomography of thorax with abdomen revealed a defect in the diaphragm through which liver segments were seen herniating into the thoracic cavity (cottage loaf sign). She was managed symptomatically and at present, she is awaiting surgical management of the liver herniation. Though non-traumatic diaphragmatic herniation is extremely rare, clinicians should be aware of this condition and should consider it among the differentials of chest x-ray abnormalities.
