Chilaiditi's and Ogilvie syndromes.

Area of Science:

• Gastroenterology
• Radiology
• Surgical Case Study

Background:

• Chilaiditi's sign involves colonic interposition between the liver and right diaphragm.
• First described in 1910 by Demetrius Chilaiditi.
• Incidence varies: 0.025–0.28% in plain imaging, 1.18–2.40% in CT scans.

Purpose of the Study:

• To report a case of Chilaiditi's sign in a 73-year-old male.
• To discuss the management of this condition.
• To review the incidence and radiological findings of Chilaiditi's sign.

Main Methods:

• Case report of a 73-year-old male presenting with epigastric pain.
• Radiological diagnosis of Chilaiditi's sign.
• Surgical management via laparoscopic cholecystectomy.

Main Results:

• The patient experienced epigastric pain, ectopic cholecystitis, and segmental hepatic hypoplasia.
• Laparoscopic cholecystectomy was performed with an uneventful outcome.
• Confirms Chilaiditi's sign as a radiological finding with potential clinical correlation.

Conclusions:

• Chilaiditi's sign can be associated with abdominal symptoms.
• Laparoscopic cholecystectomy is a viable treatment option.
• Understanding the incidence and presentation is crucial for diagnosis.