Le signe de chilaiditi

Adeyemi, Boris; Tessi, R.Y.; Saouab, Rachida; Edderai, M.; Hommadi, A.; Fenni, J. El; En-Nafaa, I.

doi:10.1016/j.jidi.2020.11.005

Cited by 1 publication

(3 citation statements)

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“…Surgery procedure is only performed if the patient does not respond to the conservative treatment or there is evidence of bowel ischemia or mechanical bowel obstruction. Therefore, differentiating Chilaiditi’s syndrome with other causes of an acute abdomen, as well as careful monitoring during conservative treatment are very important in the management [ 2 , 8 ].…”

Section: Discussionmentioning

confidence: 99%

“…Surgery is primarily reserved for cases where conservative treatment fails or there is a suspicion of serious complications such as ischemia or perforation. When surgery is necessary, it can be conducted using traditional open techniques, or minimally invasive approaches such as laparoscopic or robotic surgery [ 2 , 6 ]. The surgical strategy might involve resecting the affected part of the colon, known as a right hemicolectomy, or affixing the liver to the abdominal wall to eliminate the space that allows for colonic displacement [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

“…It is a radiological manifestation of a gas filled bowel’s interposition between the right hemi-diaphragm and the liver, which can mistakenly be confused with pneumoperitoneum [ 1 ]. Its incidence is that of 0.3% for chest X-rays and 2.4% for CT-scans [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

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Pneumoperitoneum and Chilaiditi syndrome: navigating a diagnostic conundrum

Bourakkadi Idrissi,

Dkhissi

2024

Journal of Surgical Case Reports

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Chilaiditi sign represents a rare condition marked by the interposition of the bowel between the diaphragm and liver, mimicking pneumoperitoneum on radiological imaging. The syndrome manifests with gastrointestinal symptoms and is often confused with more serious conditions. This case report presents a rare instance of Chilaiditi syndrome, initially misdiagnosed as pneumoperitoneum based on chest X-ray findings. The patient, a 61-year-old woman, arrived at the emergency department complaining of acute epigastric pain. Initial tests, including a chest X-ray, suggested pneumoperitoneum, but a subsequent contrast-enhanced abdominal CT-scan revealed the interposition of the right colon between the liver and diaphragm, characteristic of Chilaiditi sign. The patient’s symptoms, including abdominal pain and diarrhea, were consistent with Chilaiditi syndrome. The patient was treated successfully with intravenous antibiotics and fluids, showing significant improvement within 48 hours. The report highlights the importance of differentiating Chilaiditi syndrome from other acute abdominal conditions to avoid unnecessary surgical intervention.

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Section: Discussionmentioning

confidence: 99%