2008
DOI: 10.4103/0022-3859.40781
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Chilaiditi′s sign possibly associated with malposition of chest tube placement

Abstract: Although diaphragmatic paralysis is a rare recognized complication of chest tube malposition, Chilaiditi's sign occurring as a result of this complication has never been reported in literature to the best of our knowledge. We describe one such case, which had an interesting clinical sequence of events and radiographic findings and suggest that the medial end of the chest tube should be positioned at least 2 cm from the mediastinum on the frontal chest radiograph to avoid these complications.

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Cited by 10 publications
(14 citation statements)
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“…MRI may reveal haematoma in the region of the chest tube tip and phrenic nerve fibers [51]. Chiladiati sign occurring probably as a result of diaphragmatic paralysis has been reported by Gulati et al [52]. …”
Section: Complicationsmentioning
confidence: 99%
“…MRI may reveal haematoma in the region of the chest tube tip and phrenic nerve fibers [51]. Chiladiati sign occurring probably as a result of diaphragmatic paralysis has been reported by Gulati et al [52]. …”
Section: Complicationsmentioning
confidence: 99%
“…Cases of volvulus generally require urgent surgical intervention with either colectomy [perforation and gangrene] or colopexy [3,4,9].…”
Section: Discussionmentioning
confidence: 99%
“…Furthermore management of aerophagia as well as change in decubitus and weight loss may be useful as well [3,9,11,12].…”
Section: Discussionmentioning
confidence: 99%
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“…Hepatodiaphragmatic interposition of the colon is mostly diagnosed as an incidental finding on an erect chest or abdominal roentgenogram. Sometimes the patient may present with abdominal pain, nausea, vomiting, bloating, anorexia, diaphoresis, constipation, substernal pain, and even cardiac arrhythmias or respiratory distress [2]. When symptomatic, it is known as Chilaiditi's syndrome.…”
mentioning
confidence: 99%