Chilaiditi syndrome

Case contributed by Dr Bruno Di Muzio

Presentation

Right sided abdominal pain. Previous history of appendectomy. No fever or abnormal blood tests.

Patient Data

Age: 58-year-old
Gender: Female

CT Abdomen and pelvis

Modality: CT

Non-contrast abdomen and pelvis CT showing the right colonic angle interposed between the liver and the anterior portion of the right diaphragm. There is normal faecal content along the colon, especially in the ascending colon. The remainder exam is unremarkable. 

Please note that the axial images were reformatted with thick slices and thus there are some artefactual hyperintense foci along the diaphragms. 

Case Discussion

Despite the not so prominent interposition of the colon between the diaphragm and the liver, this case was managed as a Chilaiditi syndrome based in both the clinical and imaging data. It was treated conservatively with analgesia and later improvements of the symptoms. 

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Case Information

rID: 41919
Case created: 27th Dec 2015
Last edited: 29th Dec 2015
Inclusion in quiz mode: Included

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