Abstract
Malposition of hepatic flexure of colon in sub diaphragmatic space, Chilaiditi syndrome, is usually an asymptomatic anatomical aberrancy of position. It is usually noted as a coincidental finding in chest X-ray. We present a case of 63 years old male who presented as an outpatient in the department of general medicine in rural hospital. The patient had features of heart failure and also had Chilaiditi syndrome as an incidental finding. This case is presented to remind ourselves of a harmless condition in the myriad of grave conditions that account for gas under the diaphragm in a chest X-ray. Birat Journal of Health SciencesVol.2/No.3/Issue 4/Sep- Dec 2017, Page: 300-302
Highlights
Gas under diaphragm is an alarming sign that warrants immediate interven on in medical fraternity
We present a case of 63 years old male who presented as an out-pa ent in the department of general medicine in rural hospital
This condi on is reported a century ago it is uncommon finding with incidence of 0.025–0.28% in general popula on.[2]. This condi on is best treated by conserva ve methods rarely requiring laparotomy. We report such a rare case of Chilaidi sign diagnosed at a rural Hospital in Nepal
Summary
WHEN A WARNING SIGN IS NOT A WARNING SIGN: CHILAIDITI'S SIGN IN A PATIENT WITH HEART FAILURE AND EPIGASTRIC HERNIA.
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