Document Detail

Diagnosis of Chilaiditi's syndrome with abdominal ultrasound.
MedLine Citation:
PMID:  10458009     Owner:  NLM     Status:  MEDLINE    
Chilaiditi's sign is a radiographic term used when the hepatic flexure of the colon is seen interposed between the liver and right hemidiaphragm. When symptomatic, this is Chilaiditi's syndrome. We report a case of a 70-year-old man who presented with abdominal pain, vomiting, singultus and constipation. Ultrasound was initially performed which showed an intestinal loop between the anterior surface of the right liver lobe and the diaphragm. The chest X-ray revealed colon gas under the right diaphragma and the abdominal CT-scan confirmed the hepatodiaphragmatic interposition of the colon. Colonic elongation and laxity of colonic and hepatic suspensory ligaments are the principal predisposing factors. The advantages of the abdominal ultrasound in the diagnosis and follow-up as well as possible complications and forms of therapy with this syndrome are discussed.
A Widjaja; B Walter; J S Bleck; B Boozari; J Ockenga; A Holstein; M Göke; M Gebel; M P Manns
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Zeitschrift für Gastroenterologie     Volume:  37     ISSN:  0044-2771     ISO Abbreviation:  Z Gastroenterol     Publication Date:  1999 Jul 
Date Detail:
Created Date:  1999-10-21     Completed Date:  1999-10-21     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0033370     Medline TA:  Z Gastroenterol     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  607-10     Citation Subset:  IM    
Department of Gastroenterology and Hepatology, Hannover Medical School.
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MeSH Terms
Abdominal Pain / etiology
Colonic Diseases / diagnosis*,  etiology
Diagnosis, Differential
Intestinal Obstruction / diagnosis*,  etiology
Tomography, X-Ray Computed
Vomiting / etiology

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