Chilaiditi's sign

Case contributed by Dr David Cuete


Dyspnoea, cough and fever.

Patient Data

Age: 90
Gender: Male

Gas beneath the right hemidiaphragm, but bowel markings are evident.

Increased opacity of the right lung is appreciated.

Case Discussion

The chilaiditi's sign refers to the usually asymptomatic interposition of the bowel (usually hepatic flexure of the colon) between the liver and the (right) hemidiaphragm. It's important because can mimicking a pneumoperitoneum.

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Case information

rID: 27192
Published: 23rd Jan 2014
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

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