Chilaiditi's sign mimicking a traumatic diaphragmatic hernia.
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.
Kamiyoshihara
Mitsuhiro
M
Department of General Thoracic Surgery, Maebashi Red Cross Hospital, Maebashi, Gunma, Japan. micha2005jp@yahoo.co.jp
Ibe
Takashi
T
Takeyoshi
Izumi
I
D000368:Aged; D003106:Colon / Q000002:abnormalities* / Q000000981:diagnostic imaging*; D003937:Diagnosis, Differential; D003964:Diaphragm; D006549:Hernia, Diaphragmatic, Traumatic / Q000000981:diagnostic imaging*; D006801:Humans; D008099:Liver; D008297:Male; D011859:Radiography