When a Warning Sign is Not a Warning Sign: Chilaiditi's Sign in a Patient with Heart Failure and Epigastric Hernia

Authors

  • Surendra Prasad Bhatta Darchula District Hospital, Nepal
  • Saroj Timilsina Upper Tamakoshi Hydroelectric Project
  • Alo Atreya Devdaha Medical College & Research Institute, Devdaha, Rupandehi

DOI:

https://doi.org/10.3126/bjhs.v2i3.18949

Keywords:

Chiladiti sign, Chilaiditi syndrome, Gas under diaphragm

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 Sciences

Vol.2/No.3/Issue 4/Sep- Dec 2017, Page: 300-302

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Author Biographies

Surendra Prasad Bhatta, Darchula District Hospital, Nepal

Medical Officer

Saroj Timilsina, Upper Tamakoshi Hydroelectric Project

Medical Officer

Alo Atreya, Devdaha Medical College & Research Institute, Devdaha, Rupandehi

Assistant Professor, Department of Forensic Medicine

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Published

2018-01-12

How to Cite

Bhatta, S. P., Timilsina, S., & Atreya, A. (2018). When a Warning Sign is Not a Warning Sign: Chilaiditi’s Sign in a Patient with Heart Failure and Epigastric Hernia. Birat Journal of Health Sciences, 2(3), 300–302. https://doi.org/10.3126/bjhs.v2i3.18949

Issue

Section

Case Reports