Cottage loaf sign (liver)

Last revised by Dr MT. Niknejad on 26 Jun 2022

The cottage loaf sign occurs as a result of a right-sided diaphragmatic rupture with partial herniation of the liver through the diaphragmatic defect. The herniated component is separated by a waist at the diaphragm from the larger intra-abdominal component. This shape is reminiscent of a cottage loaf, a particular shape of bread in which larger and smaller roughly spherical balls are squashed together, forming a cottage shape 2.

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Cases and figures

  • FIgure 1: cottage loaf
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  • Case 1
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  • Case 2
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  • Case 3
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  • Case 4
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