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Colonic Interposition between the Liver and Diaphragm: “The Chilaiditi Sign”

A 90-year-old wheelchair bound male was brought to the emergency department with complaints of worsening abdominal pain over the last 2-3 days. The patient also had difficulty in passing urine. Abdominal examination revealed tenderness in the umbilical and hypogastric area without rebound tenderness...

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Detalles Bibliográficos
Autores principales: Nair, Nita, Takieddine, Zeina, Tariq, Hassan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4904707/
https://www.ncbi.nlm.nih.gov/pubmed/27446829
http://dx.doi.org/10.1155/2016/2174704
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author Nair, Nita
Takieddine, Zeina
Tariq, Hassan
author_facet Nair, Nita
Takieddine, Zeina
Tariq, Hassan
author_sort Nair, Nita
collection PubMed
description A 90-year-old wheelchair bound male was brought to the emergency department with complaints of worsening abdominal pain over the last 2-3 days. The patient also had difficulty in passing urine. Abdominal examination revealed tenderness in the umbilical and hypogastric area without rebound tenderness or guarding. Computed tomography (CT) of the abdomen showed a loop of colon interpositioned between the liver and the right hemidiaphragm (the Chilaiditi sign), mimicking free air. Foley's catheter was placed and the patient was managed conservatively. The patient clinically improved with improvement of the abdominal pain.
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spelling pubmed-49047072016-06-30 Colonic Interposition between the Liver and Diaphragm: “The Chilaiditi Sign” Nair, Nita Takieddine, Zeina Tariq, Hassan Can J Gastroenterol Hepatol Images of the Month A 90-year-old wheelchair bound male was brought to the emergency department with complaints of worsening abdominal pain over the last 2-3 days. The patient also had difficulty in passing urine. Abdominal examination revealed tenderness in the umbilical and hypogastric area without rebound tenderness or guarding. Computed tomography (CT) of the abdomen showed a loop of colon interpositioned between the liver and the right hemidiaphragm (the Chilaiditi sign), mimicking free air. Foley's catheter was placed and the patient was managed conservatively. The patient clinically improved with improvement of the abdominal pain. Hindawi Publishing Corporation 2016 2016-03-08 /pmc/articles/PMC4904707/ /pubmed/27446829 http://dx.doi.org/10.1155/2016/2174704 Text en Copyright © 2016 Nita Nair et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Images of the Month
Nair, Nita
Takieddine, Zeina
Tariq, Hassan
Colonic Interposition between the Liver and Diaphragm: “The Chilaiditi Sign”
title Colonic Interposition between the Liver and Diaphragm: “The Chilaiditi Sign”
title_full Colonic Interposition between the Liver and Diaphragm: “The Chilaiditi Sign”
title_fullStr Colonic Interposition between the Liver and Diaphragm: “The Chilaiditi Sign”
title_full_unstemmed Colonic Interposition between the Liver and Diaphragm: “The Chilaiditi Sign”
title_short Colonic Interposition between the Liver and Diaphragm: “The Chilaiditi Sign”
title_sort colonic interposition between the liver and diaphragm: “the chilaiditi sign”
topic Images of the Month
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4904707/
https://www.ncbi.nlm.nih.gov/pubmed/27446829
http://dx.doi.org/10.1155/2016/2174704
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