Chilaiditi Sign: Rare Incidental Finding on Chest Radiograph

Garcia, Krystal; Ashurst, John

doi:10.5811/westjem.2015.10.28653

Cited by 1 publication

(3 citation statements)

References 3 publications

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“…An incidental radiological finding of displacement and trapping of the bowel between the liver and right hemidiaphragm must meet specific criteria to be diagnosed as pseudo-pneumoperitoneum, also referred to as the Chilaiditi sign. Pseudo-pneumoperitoneum is diagnosed by meeting the following three criteria: the right hemidiaphragm must be elevated above the liver by intestines, the bowel must be distended by air, and the superior margin of the liver must be depressed below the level of the left hemidiaphragm [ 1 ]. The Chilaiditi sign typically presents asymptomatically; however, if the patient is experiencing symptoms due to this bowel interposition, this condition is referred to as Chilaiditi syndrome.…”

Section: Discussionmentioning

confidence: 99%

“…Surgical options for management in symptomatic patients who failed conservative management include colectomy and colopexy [ 12 ]. Garcia and Ashurst reported a successful outcome with da Vinci’s robotic surgical intervention in a patient presenting with persistent abdominal pain and diarrhea associated with Chilaiditi syndrome [ 1 ].…”

Section: Discussionmentioning

confidence: 99%

“…The incidental radiographic impression of gas accumulation under the right hemidiaphragm caused by displacement and entrapment of the colon (typically transverse) between the liver and right diaphragm, without causing symptoms, is known as the Chilaiditi sign. Patients presenting with symptoms such as abdominal pain, abdominal distention, and constipation due to this colonic interposition are referred to as having Chilaiditi syndrome [ 1 ]. Although no specific genetic condition is directly involved with the presence of a Chilaiditi sign, it has been seen in patients with multiple endocrine neoplasia type 2b and myotonic dystrophy type 1 [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

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A Rare Presentation of Congenital Chilaiditi Syndrome: Symptomatic Hepatobowel Entrapment

Akram¹,

Singh²,

Shah³

et al. 2023

Cureus

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The displacement and trapping of the colon between the liver and the right hemidiaphragm are known as the Chilaiditi sign or syndrome. The Chilaiditi sign presents in an asymptomatic patient, while Chilaiditi syndrome presents with symptoms such as abdominal pain, distension, and constipation, in addition to complications such as perforation, volvulus, and bowel obstruction. It is often misdiagnosed as pneumoperitoneum or free air under the diaphragm and liver, often seen on the abdomen and chest radiography. It more commonly presents in males than in females. Here, we present the case of a 37-yearold female who reported abdominal pain and persistent constipation. An abdominal CT scan showed entrapment of a bowel segment, which is referred to as the Chilaiditi sign. The patient's presentation with hepatobowel entrapment and persistent gastrointestinal symptoms was diagnosed as Chilaiditi syndrome. This presentation entails a conservative management approach. The aim of this report is to educate about the rare occurrence of Chilaiditi sign and Chilaiditi syndrome as a differential diagnosis to often misdiagnosed critical conditions such as pneumoperitoneum and intestinal perforation. Correctly identifying these patients will reduce overtreatment and help improve outcomes.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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