IMAGES IN EMERGENCY MEDICINE
Chilaiditi’s sign or Chilaiditi’s syndrome in the emergency department
1 Emergency Department, Cochin Hospital, Paris Descartes University, Assistance Publique-Paris, France
2 Department of Surgery, Cochin Hospital, Paris Descartes University, Assistance Publique-Paris, France
3 Department of Radiodiagnosis, Cochin Hospital, Paris Descartes University, Assistance Publique-Paris, France
Correspondence to:
Dr J-C Allo, Department of Emergency Medicine Cochin Hospital, 27 rue du Faubourg Saint-Jacques 75679, Paris Cedex 14, France; jean-christophe.allo@cch.aphp.fr
Accepted 12 January 2007
| The first 150 words of the full text of this article appear below. |
A 40-year-old woman presented to our emergency department with an acute 4-hour history of central abdominal pain associated with nausea and vomiting. She had no past medical or surgical history but had undergone a second uncomplicated delivery 15 days previously. Her body mass index was in the normal range. The patient had marked distension and pain of the abdomen without evidence of peritoneal irritation. A posteroanterior chest radiograph (fig 1) revealed an elevation of the right part of the diaphragm with abdominal gas interposition between the liver and the diaphragm. A CT scan showed that the transverse colon was interposed between the liver and diaphragm but also revealed an incarcerated right-sided Bochdaleck hernia (figs 2 and 3). A laparotomy was performed and confirmed the diagnosis of strangulated Bochdaleck hernia. The herniated small intestine was pushed back into the peritoneal cavity and the defect of the diaphragm
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
- Full Text
- Full Text (PDF)
- Submit a response
- Alert me when this article is cited
- Alert me when eLetters are posted
- Alert me if a correction is posted
Services
- Email this link to a friend
- Similar articles in this journal
- Similar articles in PubMed
- Add article to my folders
- Download to citation manager
- Request Permissions
Citing Articles
Google Scholar
PubMed
Topic Collections
Bookmark with
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.
