The X ray shown below is of an asymptomatic person.
Description Of Chilaiditi Sign
Chilaiditi described this normal variant in 1911 where the transverse colon is interposed between the right hemidiaphragm and the liver.
Its prevalence is thought to be 0.025%.
Occasional reports describe patients with Chilaiditi’s syndrome where patients complain of intermittent abdominal pain requiring laparotomy to rule out other causes of peritonism, e.g. perforated ulcer, ruptured appendix.
The recognition of the haustrations (indicative of large bowel origin) in the bowel shadows is crucial to the diagnosis of Chilaiditi’s sign.
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