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Chilaiditi’s syndrome

Case contributed by Dr Fakhry Mahmoud Ebouda

Presentation

Right upper quadrant pain and distension.

Patient Data

Age: 60 years
Gender: Male
X-ray

Interposition of a loop of large bowel between liver and diaphragm.

CT

CT images demonstrating colonic interposition.

Interposition of a loop of large intestine between the diaphragm and the liver. 

Case Discussion

Interposition of a loop of large intestine between the diaphragm and the liver. It is seen on plain abdominal, chest X-ray or even CT.

Normally this causes no symptoms and is called Chilaiditi's sign. It is considered one of the differential of pseudopneumoperitoneum.

Consider Chilaiditi's syndrome when the person experiences symptoms in the form of abdominal pain, breathless and volvulus of the bowel. 

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Case information

rID: 27550
Published: 7th Feb 2014
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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