Chilaiditi sign

Case contributed by Hani Makky Al Salam
Diagnosis certain


Cough and fever

Patient Data

Age: 2 years
Gender: Female

Loops of gas-filled bowel underneath the right hemidiaphragm (Chilaiditi sign).

Case Discussion

Chilaiditi sign is the asymptomatic interposition of colon between the liver and the diaphragm. When accompanied by pain this is termed Chilaiditi syndrome, which is a common cause of pseudopneumoperitoneum.

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