Pneumoperitoneum or Chilaiditi's sign

Chilaiditi's sign describes the incidental radiographic finding of the bowel positioned between the right diaphragm and the liver. This is often misdiagnosed as pneumoperitoneum or free air under the diaphragm, which may lead to unnecessary investigations or surgical procedures. Here, we report...

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Bibliographic Details
Published inMalaysian family physician Vol. 11; no. 1; pp. 22 - 24
Main Authors Teoh, S W, Mimi, O, Poonggothai, S P, Liew, S M, Kumar, G
Format Journal Article
LanguageEnglish
Published Malaysia Academy of Family Physician of Malaysia 2016
Academy of Family Physicians of Malaysia
Subjects
Case Report
Chilaiditi’s sign
pneumoperitoneum
primary care Malaysia
primary care Malaysia
pneumoperitoneum
Chilaiditi's sign
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Summary:Chilaiditi's sign describes the incidental radiographic finding of the bowel positioned between the right diaphragm and the liver. This is often misdiagnosed as pneumoperitoneum or free air under the diaphragm, which may lead to unnecessary investigations or surgical procedures. Here, we report two incidental chest radiograph findings of air under the diaphragm in patients who were being screened for pulmonary tuberculosis. This case series highlights the importance of awareness of the diagnosis of Chilaiditi's sign to avoid unnecessary hospital referrals.
ISSN:1985-207X
1985-2274