Ectopia Cordis Interna in an Asymptomatic Adult Male: A Rare Case Report

Abstract Ectopia cordis is a rare congenital malformation in which the heart is partially or completely located outside the thoracic cavity. Most cases present in infancy with severe cardiorespiratory compromise. We report an exceptionally rare presentation of ectopia cordis interna, in which a structurally normal heart is located entirely within the upper abdomen, discovered incidentally in an asymptomatic young adult male undergoing evaluation for a respiratory infection. This case highlights the importance of recognising unexpected mediastinal abnormalities on routine imaging and underscores the need for careful correlation between clinical findings and radiological appearances.