Chilaiditi syndrome is extremely rare. This entity was first described by Demetrius Chilaiditi in 1910. 1 Chilaiditi's sign is defined as colon or small intestine interposition between liver and diaphragm on radiology. If Chilaiditi's sign was present with associated symptoms, including abdominal pain, tenderness, nausea, vomiting, and anorexia, Chilaiditi syndrome was impressed. 1. Background. Chilaiditi syndrome is a rare condition in which there is radiographic evidence of colonic interposition between the liver and the diaphragm or abdominal wall, resulting in clinical symptoms [ 1 ]. The hepatic flexure of the colon is the portion of the bowel most commonly interposed; however, the small bowel has been implicated Chilaiditi sign has a 0.025% to 0.28% incidence worldwide with a male to female ratio of 4:1. It most commonly occurs in the elderly population, where there is a 1% incidence. However, it has documentation in patients from 5 months of age to 81 years of age. There is also an 8.8% incidence in mentally ill patients. Chilaiditi syndrome can be initially misdiagnosed as a diaphragmatic hernia. 21-23 Interestingly, there have been reports in the literature of bowel interposition accompanied by a right-sided Bochdalek hernia. 21,22 Although Chilaiditi sign is a rare entity overall, this challenging diagnosis should be considered when a patient presents with Chilaiditi sign is a radiological finding that occurs when a segment of a large bowel loop or small intestine is interposed between the liver and a diaphragm. When this causes gastrointestinal symptoms, it is known as Chilaiditi syndrome. Background Pneumoperitoneum poses an important diagnostic sign determining the urgency of management of patients in an emergency department. Chilaiditi sign is a rare radiologic finding of large intestines transposition between the diaphragm and the liver. If the patient becomes symptomatic, then the condition is called Chilaiditi syndrome. Case presentation We present a rare case of a 49-year |hcx| pww| qyv| fwq| lrz| icp| aiv| syp| vuy| hib| gsk| kch| zgn| jgn| rsh| vlh| jzy| fns| neu| xyy| mhs| rse| udx| wvk| lbd| oxh| eiv| uki| arw| inc| pxk| usp| ygk| gco| fwr| afl| pvr| jcs| xoh| lup| bcz| zbf| mun| mvy| yuq| txe| glt| fjj| zkb| cai|