Presentation
Upper abdominal pain.
Patient Data
Age: 70 years
Gender: Male
From the case:
Chilaiditi syndrome with gallstones
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There is interposition of right colon between diaphragm and liver representing Chilaiditi syndrome.
Multiple small rounded radiopaque opacities are also seen in right upper quadrant representing gallstones.
From the case:
Chilaiditi syndrome with gallstones
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Multiple small rounded radiopaque opacities are also seen in right upper quadrant representing gallstones. These are more easily seen with harder windowing.
Case Discussion
Chilaiditi syndrome represents interposition of colon between liver and hemidiaphragm. It is differentiated from Chilaiditi sign by the presence of pain. It is vital to distinguish Chilaiditi syndrome from pneumoperitoneum by the presence of colonic haustra.
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