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Case Report
An unusual case of displaced colon: Chilaiditi’s sign
1 Resident, Radiology, Military Hospital, Rabat, Morocco
2 Radiology Professor, Radiology, Military Hospital, Rabat, Morocco
3 Radiology Professor and Department Chief, Radiology, Military Hospital, Rabat, Morocco
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Iraqi Fatima Zahra
Agdal, Rabat,
Morocco
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Article ID: 101169Z01IZ2020
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Fatima Zahra I, Safaa C, Hassan N, Jamal EF. An unusual case of displaced colon: Chilaiditi’s sign. Int J Case Rep Images 2020;11:101169Z01IZ2020.ABSTRACT
Introduction: Chilaiditi’s sign was first described in 1910 by a Greek radiologist, Demetrius Chilaiditi. It is defined by the interposition of a part of the colon between the liver and the right hemidiaphragm. The incidence is estimated at 0.025–0.28%.
Case Report: We report the case of a 65-year-old male patient, with history of functional colopathy for several years with constipation since 10 days. Clinical examination showed a breathless patient with a painful and distended abdomen. Abdominal-pelvic computed tomography (CT) showed Chilaiditi’s sign. After four days of symptomatic treatment, he was discharged from hospital completely asymptomatic.
Conclusion: The recognition of the radiological evidence of pneumoperitoneum and pseudo-pneumoperitoneum is important to prevent unnecessary procedures, such as an exploratory laparotomies.
Keywords: Chilaiditi, Colon, Interposition, Sign, Syndrome
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Author Contributions
Iraqi Fatima Zahra - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Choayb Safaa - Acquisition of data, Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Nouali Hassan - Conception of the work, Design of the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
El Fenni Jamal - Conception of the work, Design of the work, Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2020 Iraqi Fatima Zahra et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
