From sign to syndrome: Chilaiditi

A 3-year-old girl attended the children's assessment unit with recurrent episodes of wheezing requiring inhaled salbutamol and a few courses of oral prednisolone. Since the age of 2 years, she had also suffered from constipation. The Chilaiditi sign is a rare, usually incidental radiographic fi...

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Bibliographic Details
Published in:Archives of disease in childhood 2017-12, Vol.102 (12), p.1117-1117
Main Authors: Ghani, Sohail, Course, Christopher W, Bodla, Hari P
Format: Article
Language:English
Subjects:
Consent
Constipation
Laxatives
Literature Reviews
Liver
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Summary:A 3-year-old girl attended the children's assessment unit with recurrent episodes of wheezing requiring inhaled salbutamol and a few courses of oral prednisolone. Since the age of 2 years, she had also suffered from constipation. The Chilaiditi sign is a rare, usually incidental radiographic finding characterised by colonic interposition between the liver and the diaphragm. 1 This interposition is secondary to anatomical variations in the suspensory ligaments of the transverse colon or falciform ligament, as well as secondary to congenital or chronic liver and lung diseases. 2 A CT scan is rarely recommended in cases with diagnostic uncertainty on radiograph, due to radiation risk. 3 When associated with symptoms, such as abdominal pain, decreased appetite, nausea, vomiting and constipation, it is referred to as Chilaiditi syndrome.
ISSN:0003-9888
1468-2044
DOI:10.1136/archdischild-2017-313467