Case Report


An unusual case of displaced colon: Chilaiditi’s sign

,  ,  ,  

1 Resident, Radiology, Military Hospital, Rabat, Morocco

2 Radiology Professor, Radiology, Military Hospital, Rabat, Morocco

3 Radiology Professor and Department Chief, Radiology, Military Hospital, Rabat, Morocco

Address correspondence to:

Iraqi Fatima Zahra

Agdal, Rabat,

Morocco

Message to Corresponding Author


Article ID: 101169Z01IZ2020

doi: 10.5348/101169Z01IZ2020CR

Access full text article on other devices

Access PDF of article on other devices

How to cite this article

Fatima Zahra I, Safaa C, Hassan N, Jamal EF. An unusual case of displaced colon: Chilaiditi’s sign. Int J Case Rep Images 2020;11:101169Z01IZ2020.

ABSTRACT


Introduction: Chilaiditi’s sign was first described in 1910 by a Greek radiologist, Demetrius Chilaiditi. It is defined by the interposition of a part of the colon between the liver and the right hemidiaphragm. The incidence is estimated at 0.025–0.28%.

Case Report: We report the case of a 65-year-old male patient, with history of functional colopathy for several years with constipation since 10 days. Clinical examination showed a breathless patient with a painful and distended abdomen. Abdominal-pelvic computed tomography (CT) showed Chilaiditi’s sign. After four days of symptomatic treatment, he was discharged from hospital completely asymptomatic.

Conclusion: The recognition of the radiological evidence of pneumoperitoneum and pseudo-pneumoperitoneum is important to prevent unnecessary procedures, such as an exploratory laparotomies.

Keywords: Chilaiditi, Colon, Interposition, Sign, Syndrome

SUPPORTING INFORMATION


Author Contributions

Iraqi Fatima Zahra - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Drafting the article, Final approval of the version to be published

Choayb Safaa - Acquisition of data, Drafting the article, Final approval of the version to be published

Nouali Hassan - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published

El Fenni Jamal - Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published

Guarantor of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2020 Iraqi Fatima Zahra et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.