Colonic Interposition between the Liver and Diaphragm: “The Chilaiditi Sign”

A 90-year-old wheelchair bound male was brought to the emergency department with complaints of worsening abdominal pain over the last 2-3 days. The patient also had difficulty in passing urine. Abdominal examination revealed tenderness in the umbilical and hypogastric area without rebound tenderness...

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Main Authors: Nita Nair, Zeina Takieddine, Hassan Tariq
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Canadian Journal of Gastroenterology and Hepatology
Online Access:http://dx.doi.org/10.1155/2016/2174704
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author Nita Nair
Zeina Takieddine
Hassan Tariq
author_facet Nita Nair
Zeina Takieddine
Hassan Tariq
author_sort Nita Nair
collection DOAJ
description A 90-year-old wheelchair bound male was brought to the emergency department with complaints of worsening abdominal pain over the last 2-3 days. The patient also had difficulty in passing urine. Abdominal examination revealed tenderness in the umbilical and hypogastric area without rebound tenderness or guarding. Computed tomography (CT) of the abdomen showed a loop of colon interpositioned between the liver and the right hemidiaphragm (the Chilaiditi sign), mimicking free air. Foley’s catheter was placed and the patient was managed conservatively. The patient clinically improved with improvement of the abdominal pain.
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institution Kabale University
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series Canadian Journal of Gastroenterology and Hepatology
spelling doaj-art-d7d352d1e5004d7ab07e30619b3447ba2025-02-03T01:23:04ZengWileyCanadian Journal of Gastroenterology and Hepatology2291-27892291-27972016-01-01201610.1155/2016/21747042174704Colonic Interposition between the Liver and Diaphragm: “The Chilaiditi Sign”Nita Nair0Zeina Takieddine1Hassan Tariq2Department of Medicine, Bronx-Lebanon Hospital Center, 1650 Selwyn Avenue, Suite No. 10C, Bronx, NY 10457, USADepartment of Medicine, Bronx-Lebanon Hospital Center, 1650 Selwyn Avenue, Suite No. 10C, Bronx, NY 10457, USADepartment of Medicine, Bronx-Lebanon Hospital Center, 1650 Selwyn Avenue, Suite No. 10C, Bronx, NY 10457, USAA 90-year-old wheelchair bound male was brought to the emergency department with complaints of worsening abdominal pain over the last 2-3 days. The patient also had difficulty in passing urine. Abdominal examination revealed tenderness in the umbilical and hypogastric area without rebound tenderness or guarding. Computed tomography (CT) of the abdomen showed a loop of colon interpositioned between the liver and the right hemidiaphragm (the Chilaiditi sign), mimicking free air. Foley’s catheter was placed and the patient was managed conservatively. The patient clinically improved with improvement of the abdominal pain.http://dx.doi.org/10.1155/2016/2174704
spellingShingle Nita Nair
Zeina Takieddine
Hassan Tariq
Colonic Interposition between the Liver and Diaphragm: “The Chilaiditi Sign”
Canadian Journal of Gastroenterology and Hepatology
title Colonic Interposition between the Liver and Diaphragm: “The Chilaiditi Sign”
title_full Colonic Interposition between the Liver and Diaphragm: “The Chilaiditi Sign”
title_fullStr Colonic Interposition between the Liver and Diaphragm: “The Chilaiditi Sign”
title_full_unstemmed Colonic Interposition between the Liver and Diaphragm: “The Chilaiditi Sign”
title_short Colonic Interposition between the Liver and Diaphragm: “The Chilaiditi Sign”
title_sort colonic interposition between the liver and diaphragm the chilaiditi sign
url http://dx.doi.org/10.1155/2016/2174704
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AT zeinatakieddine colonicinterpositionbetweentheliveranddiaphragmthechilaiditisign
AT hassantariq colonicinterpositionbetweentheliveranddiaphragmthechilaiditisign