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Chilaiditi syndrome

Case contributed by Heba Abdelmonem
Diagnosis certain

Presentation

Chronic abdominal pain.

Patient Data

Age: 70 years
Gender: Female
ct

From the scout abnormal air under the right copula that could be misinterpreted as pneumoperitoneum.

CT demonstrates abnormal colonic interposition between the liver and the right diaphragm Chilaiditi sign. Incidental finding of left cortical renal cysts. 

Case Discussion

Chilaiditi sign may be asymptomatic or it may be accompanied by abdominal symptoms, ranging from mild abdominal discomfort to acute intestinal obstruction. It is termed Chilaiditi syndrome when symptomatic.

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