Herniation of a hamartomatous growth of the liver in an infant masquerading as a cardiac tumour

Congenital diaphragmatic hernia is a common birth defect. The incidence varies from 1 in 5000 live births to 1 in 2000, if stillbirths are included. Herniation through the diaphragm could occur through the oesophageal hiatus, the left or right foramen of Bochdalek, the foramen of Morgagni, and communications caused by congenital absence of the left diaphragm or the central tendon [2]. They commonly occur on the left side (75–80%) and occasionally bilaterally [1]. We report an unusual right-sided diaphragmatic hernia, occurring through the central tendon which was initially misdiagnosed as a cardiac tumour.