Chilaiditi's sign mimicking a traumatic diaphragmatic hernia.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 19231439.
- Also identified by DOI 10.1016/j.athoracsur.2008.07.033.
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Abstract
A 75-year-old man had bruising develop after a traffic accident. A chest roentgenogram revealed elevation of the right hemidiaphragm. A subsequent computed tomographic scan showed interposition of the colon between the liver and diaphragm in front of the liver. Initially, we suspected a traumatic diaphragmatic hernia. Urgent exploratory video-assisted thoracoscopic surgery showed no injury of the right diaphragm. With the benefit of hindsight, there was no rupture of the diaphragm on the image. Hepato-diaphragmatic interposition of the colon is a very rare anomaly. This case was "Chilaiditi's sign" mimicking a traumatic diaphragmatic hernia.
Medical subject headings
- Colon
- Hernia, Diaphragmatic, Traumatic