Presentation
Chronic right upper quadrant abdominal pain.
Patient Data
Age: 60 years
Gender: Male
From the case:
Chiladiti syndrome
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Anterior placement of the colon to the liver reaching the under-surface of the right hemidiaphragm. It is one of the common causes of pseudopneumoperitoneum. A small gallbladder stone is noted. Associated bibasal pneumonic consolidations and pleural reactions are seen.
Case Discussion
Pain distinguishes Chilaiditi syndrome from asymptomatic colonic interposition, which is termed as Chilaiditi sign.