Chilaiditi sign

Case contributed by Dr Mohammad Taghi Niknejad

Presentation

Pre-operative planning chest X-ray.

Patient Data

Age: 60 years
Gender: Male
X-ray

Gas-filled colonic loops are interpositioned in between the right hemi diaphragm and the liver.

Case Discussion

Chilaiditi syndrome is one of the causes of pseudopneumoperitoneum and occurs when bowel gas is interposed between the liver and the hemidiaphragm resulting in pain. Gas in this position may be misinterpreted as true pneumoperitoneum resulting in further imaging, investigation and treatment that is not required.

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Case information

rID: 60500
Published: 22nd May 2018
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

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