Chilaiditi sign is seen commonly in elderly people as radiological sign wherein intestine isJuxtaposed between the right crus of the diaphragm and upper surface of right lobe of the river . It may be associated with acute abdomen or respiratory difficulty and is called Chilaiditi syndrome. Although clear on chest X ray mostly but may be confusing and require ultrasound or CT scan to clear the confusion of gas under the diaphragm.This chapter highlights about
Ethiopathogenesis clinical feature and treatment of this syndrome, as it requires conservative treatment and resolves but if reoccurs may require fixing of intestines so as to prevent them from migrating to fossa below the diaphragm. Unrecognized it may lead to urgent unwarranted laparotomy with poor outcomes.
Dr. Sunil Kumar
Department of Medicine, Jawaharlal Nehru Medical College, Datta University), Wardha, Maharashtra, India.
Department of Pulmonary Medicine, Metro Hospital, Noida, Uttar Pradesh, India.
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