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Case Reports
. 2020 Sep 21;8(12):3102-3104.
doi: 10.1002/ccr3.3346. eCollection 2020 Dec.

Chilaiditi's sign: A rare differential diagnosis of pneumoperitoneum

Affiliations
Case Reports

Chilaiditi's sign: A rare differential diagnosis of pneumoperitoneum

Imen Ben Ismail et al. Clin Case Rep. .

Abstract

Chilaiditi sign is a rare condition typically mistaken for pneumoperitoneum. CT scan can confirm the diagnosis. Its management is conservative that is why it should be well known by surgeons to avoid unnecessary exploratory laparotomies.

Keywords: Chilaiditi sign; emergency; hepatodiaphragmatic interposition.

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Conflict of interest statement

None declared.

Figures

FIGURE 1
FIGURE 1
Chest x‐ray showing air under right hemidiaphragm
FIGURE 2
FIGURE 2
Axial CT view showing loops of colon interpositioned between the liver and right hemidiaphragm

References

    1. Kang D, Pan AS, Lopez M, Buicko J, Lopez‐Viego M. Acute abdominal pain secondary to Chilaiditi syndrome. Case Rep Surg. 2013;2013:756590. - PMC - PubMed
    1. Chilaiditi D. Zur frage der hepatoptose und ptose im allgemeinen im anschluss an drei fälle von temporärer, partieller leberverlagerung. Fortschritte auf dem Gebiete der Röntgenstrahlen. 1910;16:173‐208.
    1. Alva S, Shetty‐Alva N, Longo WE. Image of the month. Chilaiditi sign or syndrome. Arch Surg. 2008;143:93‐94. - PubMed
    1. Kamiyoshihara M, Ibe T, Takeyoshi I. Chilaiditi's sign mimicking a traumatic diaphragmatic hernia. Ann Thorac Surg. 2009;87:959‐961. - PubMed
    1. Plorde JJ, Raker EJ. Transverse colon volvulus and associated Chilaiditi's syndrome: case report and literature review. Am J Gastroenterol. 1996;91:2613‐2616. - PubMed

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