Chiladiti's syndrome

Case contributed by Dr Ian Bickle

Presentation

Acute abdominal pain. Clinical concern over obstruction and perforation.

Patient Data

Age: 60
Gender: Male
X-ray

Chest

Gas beneath the right hemidiaphragm, but bowel markings are evident.

Case Discussion

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.

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Case information

rID: 26711
Published: 3rd Jan 2014
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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