Chilaiditi’s Syndrome–What Every Endoscopist Should Know

Chilaiditi’s syndrome is a rare and often asymptomatic anomaly, typically found as an incidental radiographic sign (gas under the diaphragm) due to hepato-diaphragmatic interposition of the transverse colon. We report a case of Chilaiditi’s syndrome following colonoscopy presenting with severe abdom...

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Bibliographic Details
Main Authors: Jayan George, Ashleigh V Genever, Timothy J White
Format: Article
Language:English
Published: MDPI AG 2020-04-01
Series:Reports
Subjects:
Online Access:https://www.mdpi.com/2571-841X/3/2/11
Description
Summary:Chilaiditi’s syndrome is a rare and often asymptomatic anomaly, typically found as an incidental radiographic sign (gas under the diaphragm) due to hepato-diaphragmatic interposition of the transverse colon. We report a case of Chilaiditi’s syndrome following colonoscopy presenting with severe abdominal pain, dyspnoea and radiograph findings similar to the presence of bowel perforation (appearance of gas under the hemidiaphragm on erect chest radiograph). Computed tomography (CT) evidence of Chilaiditi’s sign prevented unnecessary laparotomy.
ISSN:2571-841X