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Pneumoperitoneum and Chilaiditi syndrome: navigating a diagnostic conundrum
Mehdi Bourakkadi Idrissi1, Younes Dkhissi2
1Department of General Surgery, Haut Atlas Hospital, Azilal 22000, Morocco.
Journal of Surgical Case Reports
|February 26, 2024
Summary
Chilaiditi sign, a rare condition where the bowel is between the liver and diaphragm, can mimic pneumoperitoneum. Correct diagnosis prevents unnecessary surgery for this gastrointestinal issue.
Area of Science:
- Gastroenterology
- Radiology
- Abdominal Imaging
Background:
- Chilaiditi sign is a rare radiological finding of bowel interposition between the liver and diaphragm.
- It can mimic pneumoperitoneum, leading to misdiagnosis and potential surgical intervention.
Observation:
- A 61-year-old woman presented with acute epigastric pain and diarrhea.
- Initial chest X-ray suggested pneumoperitoneum.
- A contrast-enhanced abdominal CT scan confirmed Chilaiditi sign, showing the right colon between the liver and diaphragm.
Findings:
- The patient's symptoms were consistent with Chilaiditi syndrome.
- Successful conservative management with intravenous antibiotics and fluids led to significant improvement within 48 hours.
Implications:
- Accurate differentiation of Chilaiditi sign from pneumoperitoneum is crucial.
- This distinction helps avoid unnecessary surgical procedures for acute abdominal conditions.
Keywords:
Chilaiditi signChilaiditi syndromeabdominal painconservative managementpseudo-pneumoperitoneumMore Related Videos
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