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CASE REPORT
Year : 2017  |  Volume : 15  |  Issue : 3  |  Page : 237-239

An unusual cause of acquired cardiac dextroposition


1 Department of Endocrinology, Diabetes and Metabolism, Christian Medical College, Vellore, India
2 Department of General Surgery, Diabetes and Metabolism, Christian Medical College, Vellore, India
3 Department of Cardiology, Diabetes and Metabolism, Christian Medical College, Vellore, India

Correspondence Address:
Simon Rajaratnam
Department of Endocrinology, Diabetes and Metabolism, Christian Medical College, Vellore - 632 004, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/cmi.cmi_49_17

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Cardiac dextroposition is the horizontal displacement of the heart into the right hemithorax. We present a case with an unusual cause of cardiac dextroposition. A75-year-old, morbidly obese woman on regular follow-up for diabetes, hypertension, and ischemic heart disease presented with complaints of a persistent cough. Her chest X-ray showed elevation of the left dome of the diaphragm and shift of the mediastinum to the right which was a new finding as compared to her previous chest X-ray taken in April 2012. Subsequent radiological examination revealed the presence of a well-defined, fat-containing mass in the left hypochondrium displacing the stomach, spleen, and transverse colon downward. She was taken up for laparotomy, and a 2kg well-circumscribed intraperitoneal tumor was excised from the left hypochondrium. The biopsy showed a well-differentiated liposarcoma. New-onset cardiac dextroposition is usually secondary to pathology in the lungs or the pleura or the diaphragm. An intra-abdominal tumor causing cardiac dextroposition has not been reported so far.


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