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 a t autopsy were a hornlike subdiaphragmatic intrathoracic accessory lob e of the fiver and a lobulated right atrial appendage of the heart. At the superiormost aspect of the malpositioned right anterior diaphragm atic leaf a small phrenic nerve hamartoma was found. The phrenic nerve itself appeared small and not well developed. The phrenic nerve lesio n may have been a concomitant or secondary hamartomatous change. Caref ul clinical and pathological search for concomitant anomalies in diaph ragmatic lesions is emphasized.