Chilaiditi's sign

Case contributed by Dr David Cuete

Presentation

Dyspnoea, cough and fever.

Patient Data

Age: 90
Gender: Male
Modality: X-ray

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
Case created: 23rd Jan 2014
Last edited: 8th Oct 2015
Inclusion in quiz mode: Included

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