Chilaiditi Syndrome - A Case Report of Pseudopneumoperitoneum

Abstract

Pneumoperitoneum presents a crucial diagnostic indicator, dictating the immediacy of patient management within an emergency department. Chilaiditi's sign denotes an uncommon radiological discovery characterized by the transposition of the large intestines between the diaphragm and the liver. Should symptoms arise in the patient, this condition is referred to as Chilaiditi syndrome. We report a unique instance involving a 77-year-old female who visited our emergency department with complaints of chest and abdominal pain. Upon radiological evaluation through chest radiograph and computed tomography scan, she was diagnosed with Chilaiditi syndrome. Instead of opting for invasive and potentially unnecessary diagnostic and therapeutic procedures, she was managed conservatively. This approach was chosen to mitigate the risk of heightened morbidity associated with unwarranted interventions. This case report delves into Chilaiditi syndrome, aiming to enhance the understanding of healthcare practitioners regarding this condition. Emphasizing the significance of thorough physical examinations in assessing patients presenting with apparent signs of air under the diaphragm is a key focus of this review. Keywords: Pneumoperitoneum, Chilaiditi, Pseudopneumoperitoneum.