Chilaiditi’s Sign: A Radiological Finding to be Known for Surgeons

2018 ◽  
pp. 122-123
Author(s):  
Antonio Pesce ◽  
◽  
Stefano Puleo ◽  
Keyword(s):  
Radiological Finding ◽  
Chilaiditi’S Sign

scholarly journals Chilaiditi's sign and syndrome: Theoretical facts and a case report

2016 ◽  
Vol 73 (3) ◽  
pp. 277-279 ◽  
Author(s):  
Biljana Zvezdin ◽  
Nevena Savic ◽  
Sanja Hromis ◽  
Violeta Kolarov ◽  
Djordje Tausan ◽  
...  
Keyword(s):  
Case Report ◽  
Incidental Finding ◽  
Radiological Finding ◽  
Gastrointestinal Symptoms ◽  
Clinical Importance ◽  
Chronic Obstructive ◽  
Benign Condition ◽  
Chilaiditi’S Syndrome ◽  
Chilaiditi’S Sign ◽  
Chilaiditi's Syndrome

Introduction. Chilaiditi's syndrome is a rare condition manifested by gastrointestinal symptoms, and radiologically verified by transposition of the large intestine loop. This radiological finding with no manifested symptoms is termed the Chilaiditi's sign. The aim of this case report was to remind the clinicians of the possibility of this rare syndrome, whose symptoms and signs may be misinterpreted and inadequately treated, with consequent diverse complications. Case report. We presented the theoretical facts and a patient in whom the diagnosis of Chilaiditi's syndrome was established incidentally, when hospitalized for an exacerbation of his chronic obstructive pulmonary disease. The Chilaiditi's sign was verified as an incidental finding on chest X-ray performed to evaluate the primary disease. Conclusion. Chilaiditi's syndrome is a benign condition which rarely requires surgery. Its clinical importance lies in adequate differential diagnostic approach and timely management of potentially serious complications.

Chilaiditi's Syndrome: What Should Every Surgeon Know?

2005 ◽  
Vol 71 (3) ◽  
pp. 261-263 ◽  
Author(s):  
Alan A. Saber ◽  
Michael J. Boros
Keyword(s):  
Radiological Finding ◽  
Review Of The Literature ◽  
Asymptomatic Patients ◽  
Chilaiditi’S Syndrome ◽  
Chilaiditi’S Sign ◽  
Chilaiditi's Syndrome

Demetrius Chilaiditi first described an incidental radiological finding1 of hepatodiaphragmatic interposition of bowel in 1910. The condition could be mistaken for pneumoperitoneum. This radiographic entity, known as Chilaiditi's sign, is found in asymptomatic patients and must be distinguished from Chilaiditi's syndrome, which produces symptomatology associated with the bowel interposition. A review of the literature yielded 27 published cases of Chilaiditi's syndrome. These cases were compiled to evaluate various aspects of this rare but important entity.

scholarly journals Chilaiditi’s sign, a cause of pseudo-pneumoperitoneum: A case report

2018 ◽  
Vol 6 ◽  
pp. 2050313X1881221
Author(s):  
Benjamin Sachdev Manjit Singh ◽  
Muhammad Daniel Azlan Mahadzir ◽  
Tiong Chan Lee
Keyword(s):  
Case Report ◽  
Chest Radiograph ◽  
Surgical Intervention ◽  
Asymptomatic Patient ◽  
Correct Diagnosis ◽  
Radiological Finding ◽  
Diagnostic Dilemma ◽  
Unnecessary Procedures ◽  
The Right ◽  
Chilaiditi’S Sign

The differentiation between a pseudo-pneumoperitoneum and true pneumoperitoneum on an initial chest radiograph is challenging but essential to clinical practice. The former is managed conservatively whereas the latter may require surgical intervention. Chilaiditi’s sign describes a rare incidental radiological finding of gas filled bowel interpositioned between the right hemi-diaphragm and the liver, which is visible on a plain abdominal or chest radiograph. It is often misdiagnosed as a pneumoperitoneum. Correct diagnosis of Chilaiditi’s sign in an asymptomatic patient can prevent unnecessary procedures. We have reported one incidental chest radiograph with Chilaiditi’s sign in a patient presenting and treated for pneumonia. The report aims to illustrate the diagnostic dilemma experienced by clinicians in distinguishing a true versus pseudo-pneumoperitoneum on a chest radiograph.

Prevalence and Sonographic Detection of Chilaiditi's Sign in Cirrhotic Patients Without Ascites

2006 ◽  
Vol 187 (6) ◽  
pp. W589-W593 ◽  
Author(s):  
Hayato Nakagawa ◽  
Nobuo Toda ◽  
Makoto Taniguchi ◽  
Kenji Ibukuro ◽  
Kazumi Tagawa
Keyword(s):  
Cirrhotic Patients ◽  
Chilaiditi’S Sign

Fourth Ventricle Outlet Obstruction and Diverticular Enlargement of Luschka Foramina in a Child with Down Syndrome

2020 ◽  
pp. 1-4
Author(s):  
Valentina Orlando ◽  
Pietro Spennato ◽  
Maria De Liso ◽  
Vincenzo Trischitta ◽  
Alessia Imperato ◽  
...  
Keyword(s):  
Down Syndrome ◽  
Fourth Ventricle ◽  
Endoscopic Third Ventriculostomy ◽  
Obstructive Hydrocephalus ◽  
Radiological Finding ◽  
Outlet Obstruction ◽  
Third Ventriculostomy ◽  
Viable Option ◽  
Case Presentation

<b><i>Introduction:</i></b> Hydrocephalus is not usually part of Down syndrome (DS). Fourth ventricle outlet obstruction is a rare cause of obstructive hydrocephalus, difficult to diagnose, because tetraventricular dilatation may suggest a communicant/nonobstructive hydrocephalus. <b><i>Case Presentation:</i></b> We describe the case of a 6-year-old boy with obstructive tetraventricular hydrocephalus, caused by Luschka and Magen­die foramina obstruction and diverticular enlargement of Luschka foramina (the so-called fourth ventricle outlet obstruction) associated with DS. He was treated with endoscopic third ventriculostomy (ETV) without complications, and a follow-up MRI revealed reduction of the ventricles, disappearance of the diverticula, and patency of the ventriculostomy. <b><i>Conclusion:</i></b> Diverticular enlargement of Luschka foramina is an important radiological finding for obstructive tetraventricular hydrocephalus. ETV is a viable option in tetraventricular obstructive hydrocephalus in DS.

scholarly journals Acute Gastric Dilatation: A Cause for Concern

2021 ◽  
pp. 171-177
Author(s):  
Danial Haris Shaikh ◽  
Abhilasha Jyala ◽  
Shehriyar Mehershahi ◽  
Chandni Sinha ◽  
Sridhar Chilimuri
Keyword(s):  
Nasogastric Tube ◽  
Radiological Finding ◽  
Plain Film ◽  
Tube Placement ◽  
Gastric Dilatation ◽  
Acute Hyperglycemia ◽  
Acute Gastric Dilatation ◽  
Physician Awareness ◽  
Gastric Emphysema ◽  
Nasogastric Tube Placement

Acute gastric dilatation is the radiological finding of a massively enlarged stomach as seen on plain film X-ray or a computerized tomography scan of the abdomen. It is a rare entity with high mortality if not treated promptly and is often not reported due to a lack of physician awareness. It can occur due to both mechanical obstruction of the gastric outflow tract, or due to nonmechanical causes, such as eating disorders and gastroparesis. Acute hyperglycemia without diagnosed gastroparesis, such as in patients with diabetic ketoacidosis, may also predispose to acute gastric dilatation. Prompt placement of a nasogastric tube can help deter its serious complications of gastric emphysema, ischemia, and/or perforation. We present our experience of 2 patients who presented with severe hyperglycemia and were found to have acute gastric dilation on imaging. Only one of the patients was treated with nasogastric tube placement for decompression and eventually made a full recovery.

scholarly journals A Radiological Scoring System for Differentiation between Enchondroma and Chondrosarcoma

Cancers ◽  
2021 ◽  
Vol 13 (14) ◽  
pp. 3558
Author(s):  
Shinji Miwa ◽  
Norio Yamamoto ◽  
Katsuhiro Hayashi ◽  
Akihiko Takeuchi ◽  
Kentaro Igarashi ◽  
...  
Keyword(s):  
Scoring System ◽  
Radiological Finding ◽  
Final Diagnosis ◽  
Radiological Findings ◽  
Abnormal Signal ◽  
Cortical Defect ◽  
Diagnostic Usefulness ◽  
Radiological Score ◽  
Sensitivity Specificity ◽  
Cartilaginous Tumors

Background: It is challenging to differentiate between enchondromas and atypical cartilaginous tumors (ACTs)/chondrosarcomas. In this study, correlations between radiological findings and final diagnosis were investigated in patients with central cartilaginous tumors. Methods: To evaluate the diagnostic usefulness of radiological findings, correlations between various radiological findings and final diagnoses were investigated in a cohort of 81 patients. Furthermore, a new radiological scoring system was developed by combining radiological findings. Results: Periosteal reaction on X-ray (p = 0.025), endosteal scalloping (p = 0.010) and cortical defect (p = 0.002) on CT, extraskeletal mass (p < 0.001), multilobular lesion (p < 0.001), abnormal signal in adjacent tissue (p = 0.004) on MRI, and increased uptake in bone scan (p = 0.002) and thallium scan (p = 0.027) was significantly correlated with final diagnoses. Based on the correlations between each radiological finding and postoperative histological diagnosis, a radiological scoring system combining these findings was developed. In another cohort of 17 patients, the sensitivity, specificity, and accuracy of the radiological score rates for differentiation between enchondromas and ACTs/chondrosarcomas were 88%, 89%, and 88%, respectively (p = 0.003). Conclusion: Radiological assessment with combined radiological findings is recommended to differentiate between enchondromas and ACT/chondrosarcomas.

Chilaiditi Syndrome and Recurrent Colonic Volvulus: A Case Report

2001 ◽  
Vol 87 (2) ◽  
pp. 111-112
Author(s):  
Jon Matthews ◽  
Giles W Beck ◽  
Douglas M G Bowley ◽  
Andrew N Kingsnorth
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Case Report ◽  
Optimal Treatment ◽  
X Ray ◽  
Colonic Volvulus ◽  
Chilaiditi’S Syndrome ◽  
Chest X Ray ◽  
Chilaiditi’S Sign ◽  
Chilaiditi's Syndrome

AbstractThe case of a 31 year old male presenting as an emergency with a recurrent colonic volvulus is described. A chest X-ray on admission to hospital showed the presence of hepato-diaphragmatic interposition of the colon, Chilaiditi’s Sign, which is known to be a risk factor for colonic volvulus. This is only the fourth reported case of colonic volvulus in association with Chilaiditi’s Syndrome and the first with recurrent colonic volvulus. The optimal treatment for recurrent volvulus in patients with risk factors such as Chilaiditi’s Syndrome or megacolon is also discussed.

Sign in / Sign up

Export Citation Format

Share Document