Abstract
BACKGROUND: Chilaiditi sign is an uncommon illness characterized by radiological evidence of colonic interposition between the liver and the diaphragm or abdominal wall. This is often confused with the pneumoperitoneum; hence it is important to differentiate the two entities as former is managed conservatively whereas latter requires surgical intervention. This case reports aims to highlight the dilemma faced by the physicians in the emergency room between the two entities.
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