Chilaiditi's Sign Case Studies

Improved Essays
Chilaiditi’s sign-which is an extremely rare radiographic sign is an incidental radiographic finding of interposition of a colon segment between the liver and the diaphragm. Chilaiditi sign can be initially misdiagnosed as a diaphragmatic hernia or pneumoperitoneum that can need unnecessary surgeries.We report a patient with type-2 diabetes mellitus, who was incidentally diagnosed with Chilaiditi’s sign in order to attract attention to this extremely rare occasion and avoid unnecessary surgery.
Özet
Türkçesi yazılacak………………………………………

introduction
Chilaiditi's sign is an incidental radiographic finding of subdiaphragmatic radiolucency due to the interposition of a bowel segment between the liver and the diaphragm.It is mostly an incidental
…show more content…
1) Abdominal CT and abdominal usg revealed hepatodiaphragmatic interposition of the colon between the anterior of liver and diaphragm.(fig.2) The patient was conservatively treated with bed rest, intravenous fluid therapy, intensive insulin therapy, enemas dietary recommendations, and laxatives. Figure 1 Figure 2

Discussion
The phenomenon of interposition of the intestine between the liver and the diaphragm was first described by Cantini in 1865.In 1899, Béclère presented the necropsy and roentgenological findings in a patient thought to have a subdiaphragmatic abscess.Chilaiditi was an Ottoman subject of Greek origin who one of the first members of the Turkish Radiological Society.In his work, published in 1910, Chilaiditi reported anatomoradiographic aspects of 3 asymptomatic cases of the appearance of subdiaphragmatic air on plain radiography because of temporary hepatodiaphragmatic interposition of the colon. Since then, this condition has been associated with Chilaiditi's name.2 Chilaiditi sign is found incidentally in

Related Documents

  • Improved Essays

    Pearce and Nair (2015) agreed that blood pressure is the pressure exerted by blood within the blood vessel. The systolic blood pressure is when the heart contracts and diastolic when the heart relaxes (Timby 2009, p 199). In addition to this, Miller ( 2010, p 4 - 5) states normal systolic blood pressure is 120 mmHg and diastolic 80 mmHg. I placed the cuff above patient's right anti-cubital fossa when I realized I was not supporting her arm; therefore, I made her comfortable by placing a pillow under her arm. Whilst inflating the cuff, the assessor pointed me out I was holding the manometer on my hand; therefore, I rapidly hung it on the upper edge of the cuff where I could see it.…

    • 353 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Paglantis Monologue

    • 606 Words
    • 3 Pages

    We completed this maneuver, and then performed a cholangiogram, and much to our surprise, the left intrahepatic duct looked clear but was massively dilated. I think in retrospect, it was filled not only with stones but with mucus, and other material. We then directed our attention to the right intrahepatic ducts, and entered it with the SPYGLASS technology and performed the lithotripsy of stones there as well. I should mention however that the right…

    • 606 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    Pt states that he has family hx of colon CA and therefore is very concern. Pt denies hx of fever, chill, dark tarry stools, nausea, and vomitting. Assist the pt scheduling an appt. Informed pt if he has any of the above symptoms go tothe ER. Pt agrees an verbalized understanding.…

    • 120 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    Galltone Case Study

    • 389 Words
    • 2 Pages

    Gallstones are not that unordinary. They happen to numerous individuals around the globe. Be that as it may, don't give up, there is something the Chinese thought about and now they have imparted to the world. Our gallbladder is a 4 inches organ with the type of pear. It is set under the liver.…

    • 389 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Malpractice Case Summary

    • 1186 Words
    • 5 Pages

    Preliminary Statement I was asked to research and prepare a memorandum of law on whether Ms. Price can bring a lawsuit of malpractice after ten years the surgery had been commenced. Facts Ms. Price had a successful surgery about ten years ago to repair her colon. However, after the surgery Ms. Price occasionally suffered twinges of pain in her stomach and continue to cause her discomfort.…

    • 1186 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Cervicalgia Case Summary

    • 821 Words
    • 4 Pages

    This is a 59-year-old female with a 7/29/2009 date of injury, due to a slip and fall. DIAGNOSIS: Cervicalgia; C4-7 anterior cervical decompression and fusion 2014; Lumbar/cervical disc degeneration. 12/15/15 Progress Report described that the patient has significant neck pain radiating to he right upper extremity with weakness and increased elbow pain. She still continues to have severe back pain. She still has lower back pain and occasional lower extremity pain.…

    • 821 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Whe When Perna Case Study

    • 480 Words
    • 2 Pages

    On May 8th 1977, Thomas Perna entered his local hospital after being guided there by his family doctor. He was going to have some urological tests done with a specialist by the name of Dr. Pirozzi. Perna had kidney stones, which is when a large calcium buildup with sharp edges tries to pass through a person’s small intestines. It is a very painful condition to have, and can lead to a lot of complications of the intestines. However, Dr. Pirozzi was part of a special medical group that commonly shared patients.…

    • 480 Words
    • 2 Pages
    Improved Essays
  • Decent Essays

    Colonoscopy Essay

    • 387 Words
    • 2 Pages

    There is rectal involvement with granularity, contact bleeding, and ulcerations seen. Biopsies obtained. The procedure was terminated. IMPRESSION Chronic colitis. It is difficult to state for certain from today's exam whether or not this is Crohn's disease or ulcerative colitis.…

    • 387 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    In this article Edwin L. Battistella approaches the idea of how the English language throughout history has been seen as representing the American identity and unity, and explores the attitudes towards other minorities languages and foreign tongues. The article focuses on why those who choose to speak foreign languages are seen as bad citizens and the fear of multilinguistic within the time line. Batistella also mentions the concerns for standardization of the founders of the United States, that is, the need to have a standardized usage and pronunciation which would represent the ideals and cultural values of the people. The idea that a common language helps resolve differences and widens the understanding between those of different backgrounds…

    • 770 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Introduction Hirschsprung disease is a rare condition in which nerve cells that control contractions are missing from part of the large intestine (colon). The colon absorbs fluids and holds stool so that it can be passed out of the body with movements called contractions. In Hirschsprung disease, the colon has trouble moving stool out through the rectum. This leads to constipation.…

    • 477 Words
    • 2 Pages
    Improved Essays
  • Great Essays

    This paper explores a case study about a patient namely Ms.V. She is a 35 year old underweight White American, who had recurrent respiratory infection, MsV has been admitted to the hospital Due to her symptoms; after a biopsy she has been diagnosed with ulcerative colitis. This paper Discusses the etiology as well as medications for low potassium, ulcerative colitis Also, Alternative medicine as well as patient’s education are included. (1) Imbalanced nutrition less than body requirement related to decreased absorption as evidenced by weight loss related to impaired absorption and diarrhea.…

    • 2068 Words
    • 9 Pages
    Great Essays
  • Improved Essays

    This disorder can also be associated with pancreatitis, peptic ulcers, and other intra-abdominal inflammatory conditions. There are multiple causes of this disorder. One of them is a narrow Superior Mesenteric Arty to Aorta distance also known a narrow aortomesenteric vascular angle, also, a relatively low Superior Mesenteric Artery origin. The other causes are excessive weight loss (causes of mesenteric and retroperitoneal lipid tissue loss, such as burns, anorexia, or cancer), severe injuries, surgical complications, and abnormal peritoneal attachments associated with duodenal malrotaion. There are many tests used to identify this syndrome.…

    • 427 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Chiari Malformation is a disorder that occurs in many people. People with Chiari most often have symptoms. These symptoms include dizziness, muscle weakness, numbness, vision problems, headaches, and problems with coordination and balance (Arnold Chiari Malformation…

    • 1001 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    While the definition of American Sign Language varies throughout institutions and settings, Dr. William Vicars defines ASL as “a visually perceived language based on a naturally evolved system of articulated hand gestures and their placement relative to the body, along with non-manual markers such as facial expressions, head movements, shoulder raises, mouth morphemes, and movements of the body” (ASL: a brief description, n.d.). More specifically, ASL may also vary among individuals. Pidgin Signed English, or PSE, is a combination of ASL and English. Since ASL is a distinct language, it does not translate perfectly into English, with many words and syntax rules differentiating.…

    • 469 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Throughout this semester it was required to learn another language and I had chosen American Sign Language, also known as, ASL. It was incredibly frustrating and rewarding all at the same time. I learned and relearned a lot, not only about the actual language but what it takes and the process of learning another language, and about myself. I did not do anything related to American Sign Language over spring break.…

    • 1321 Words
    • 5 Pages
    Improved Essays