Monday, March 14, 2011

Chilaiditi syndrome

Chilaiditi Syndrome is transposition of a loop of large intestine (usually transverse colon) in between the diaphragm and the liver.
also known as 

  •  interpositio hepatodiaphragmatica,
  •  subphrenic displacement of the colon,
  •  subphrenic interposition syndrome and
  •  pseudopneumoperitoneum.
triad for CS is, abdominal pain, volvulus and shortness of breath..

on X-ray, classically u will find , gas in the right hemidiagphragma always misdiagnose with pneumoperitoneum...


 A small crescent of air can be seen under the right part of the diaphragm
gas between liver and diaphragmrugal 
rugal folds within the gas suggesting that it is within bowel and not free

COD:a long and mobile colon (dolichocolon), chronic lung disease such as emphysema, or liver problems such as cirrhosis and ascites

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