Chilaiditi syndrome

Case contributed by Dr Muhammad Idris

Presentation

Non-specific right upper quadrant and chest pain.

Patient Data

Age: 75 years
Gender: Male
X-ray

There is anterior interposition of the colon between the liver and under-surface of the right hemidiaphragm.

CT

CT further confirms the x-ray diagnosis of anterior interposition of the colon between the liver and right hemidiaphragm consistent with Chilaiditi sign.

Case Discussion

This case is typical example of Chilaiditi syndrome where a loop of colon is seen lying in the right subdiaphragmatic location between the liver and diaphragm, and is differentiated from Chialiditi sign as the colonic position is thought to cause symptoms.

This diagnosis is important to make as it can mimic a pneumoperitoneum. If not recognized correctly may lead to unnecessary investigations and complications in patients where liver interventions are required.

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Case information

rID: 59705
Published: 30th Apr 2018
Last edited: 30th Apr 2018
Inclusion in quiz mode: Included

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