Abstract

ESTEVEZ-RAMIREZ, Gloria Marcela; JIMENEZ-ANDRADE, Viviana Catalina  and  FAJARDO-RIVERO, Javier Enrique. Chilaiditi sign as an incidental finding in a patient with respiratory disease: a case report. Medicas UIS [online]. 2018, vol.31, n.3, pp.57-61. ISSN 0121-0319.  https://doi.org/10.18273/revmed.v31n3-2018006.

The Chilaiditi sign is a rare radiographic finding, which consists in the interposition of an intestinal handle between the liver and the diaphragm. There is no clear etiology established, however, several hypotheses have been proposed to explain its presence, including the hyper-laxity of the liver suspensory ligaments, an increase on the intra-abdominal pressure and colonic redundancy. When this finding is associated with gastrointestinal or respiratory symptoms is called "Chilaiditi syndrome", and its treatment is mainly symptomatic; in exceptional cases a surgical approach is required. The Chilaiditi sign is usually an incidental finding, and a connection with chronic respiratory disease has been seen, and it could affect this pathology's clinical course, being this a motivation to deepen in an integral study. We present a case of an elder patient, being followed due to chronic obstructive pulmonary disease, whose chest X-ray shows interposition of an intestinal handle between the right diaphragmatic dome and the liver. MÉD.UIS. 2018;31(3):57-61.

Keywords : Chilaiditi syndrome; Pulmonary Disease; Chronic Obstructive; Mass Chest X-Ray.

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