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A rare radiological finding in an infant with respiratory distress

Maria Gogou1, Andreas Giannopoulos1, Katerina Haidopoulou1

  • 1Department of Pediatrics, School of Medicine, Aristotle University of Thessaloniki, University General Hospital AHEPA, Thessaloniki, Greece.

Sudanese Journal of Paediatrics
|February 26, 2019
PubMed

Insights

Chilaiditi's sign, a rare condition where colon loops are found between the diaphragm and liver, can cause respiratory distress in infants. Awareness of this sign is crucial for accurate diagnosis and to avoid misidentification as other serious conditions.

Area of Science:

  • Pediatric Radiology
  • Gastrointestinal Radiology
  • Thoracic Imaging

Background:

  • Infantile respiratory distress is a common emergency department presentation.
  • Accurate radiological diagnosis is essential to differentiate between benign and life-threatening conditions.
  • Chilaiditi's sign is a rare anatomical variant with potential diagnostic challenges.

Observation:

  • A case of an infant presenting with respiratory distress is described.
  • Chest radiography revealed interposition of colon loops between the right hemidiaphragm and liver.
  • Abdominal and thoracic ultrasound examinations were normal, aiding in the diagnosis.

Findings:

  • The radiological finding was identified as Chilaiditi's sign.
  • This sign can be mistaken for pneumoperitoneum or diaphragmatic hernia.
  • The infant's presentation highlights a symptomatic manifestation of Chilaiditi's sign.

Implications:

  • Clinicians must be familiar with rare radiological signs like Chilaiditi's sign.
  • Increased awareness can prevent misdiagnosis and inappropriate interventions.
  • This case underscores the importance of comprehensive radiological interpretation in pediatric emergencies.

Keywords:
Chest radiographChilaiditi’s signChildRadiology

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