Chilaiditi syndrome: pseudopneumoperitoneum
Incidental finding oc chest radiography.
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There is gas between liver and diaphragm that rugal folds within the gas suggesting that it is within bowel and not free. In this case interposition of right-sided sigmoid make the sign.
The findings are consistent with Chilaiditi syndrome. A rare disorder where a part of the colon, or sometimes intestine, is abnormally positioned between the liver and the diaphragm.
Chilaiditi’s Syndrome is important because it can simulate pneumoperitoneum so also called pseudo-pneumoperitoneum .
A case of Prof. Saeed Rad, Tabriz , Iran.
- Chilaiditi D. Zur Frage der Hepatoptose und Ptose im allgemeinen im Anschluss an drei Falle von temporarer, partieller Leberverlagerung. Fortschr Geb Rontgenstr Nuklearmed Erganzungsband1910; 16:173 -208