Acute abdominal pain. Clinical concern over obstruction and perforation.
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Gas beneath the right hemidiaphragm, but bowel markings are evident.
Chaladiti syndrome, or perhaps more accurately described as colonic interposition, is one cause of a pseudopneumoperitoneum. Colon is atypically located in the subdiaphragmatic space mimicking a pneumoperitoneum.
It is important to be able to distinguish between this and perforation in a surgical abdomen.