Soonchunhyang Med Sci.  2012 Dec;18(2):129-133.

Chilaiditi's Sign in the Colon of Adult Patients: A Case Series and Literature Review Including 55 Cases

Affiliations
  • 1Institute for Digestive Research, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Korea. iman0825@naver.com

Abstract

Chilaiditi's sign refers to a condition in which the right colon or, rarely, the small intestine is interposed between the liver and the right hemidiaphragm. Recognizing this sign is important, because it may present with a variety of abdominal symptoms and may be confused with a surgical abdomen leading to unnecessary surgical intervention. Management is usually conservative unless complications such as volvulus or obstruction occur. Previous reports focused on the complications and surgical management of Chilaiditi's sign. We present a report of three cases of Chilaiditi's sign that were managed non-surgically, together with an updated review of the English literature.

Keyword

Chilaiditi's syndrome; Colon

MeSH Terms

Abdomen
Adult
Chilaiditi Syndrome
Colon
Humans
Intestinal Volvulus
Intestine, Small
Liver
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