Chilaiditi syndrome with gallstones

Case contributed by Dr Pir Abdul Ahad Aziz

Presentation

Upper abdominal pain.

Patient Data

Age: 70 years
Gender: Male
Modality: X-ray

There is interposition of right colon between diaphragm and liver representing Chilaiditi syndrome. Multiple small rounded radiopaque opacities are also seen in right upper quadrant representing gallstones.

Modality: X-ray

Multiple small rounded radiopaque opacities are also seen in right upper quadrant representing gallstones. These are more easily seen with harder windowing. 

Case Discussion

Chilaiditi syndrome represents interposition of colon between liver and hemidiaphragm. It is differentiated from Chilaiditi sign by the presence of pain. It is vital to distinguish Chilaiditi syndrome from pneumoperitoneum by the presence of colonic haustra.

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Case Information

rID: 47602
Case created: 23rd Aug 2016
Last edited: 23rd Aug 2016
Tag: rapids
Inclusion in quiz mode: Included

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