Case Report
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
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Iraqi Fatima Zahra
Agdal, Rabat,
Morocco
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Article ID: 101169Z01IZ2020
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
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 SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors 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.