Demetrius Chilaiditi first described an incidental radiological finding of hepatodiaphragmatic interposition of bowel in 1910. The condition could be mistaken for pneumoperitoneum. This radiographic entity, known as Chilaiditi’s sign, is found in asymptomatic patients and must be distinguished from Chilaiditi’s syndrome, which produces symptomatology associated with the bowel interposition.
Click on Chilaiditi’s sign...Although diaphragmatic paralysis is a rare recognized complication of chest tube malposition, Chilaiditi's sign occurring as a result of this complication has never been reported in literature to the best of our knowledge. Beware chest physicians! the medial end of the chest tube should be positioned at least 2 cm from the mediastinum on the frontal chest radiograph to avoid these complications.
Click on Chilaiditi’s sign...
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