Chilaiditi syndrome

Case contributed by Maen K H
Diagnosis certain

Patient Data

Age: Adult
x-ray

Chilaiditi syndrome: colonic loops are noted between the right hemidiaphragm 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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