title: Dyspnea and large bowel obstruction: a misleading Chilaiditi syndrome.
abstract: Chilaiditi sign is named after the Greek radiologist Demetrius Chilaiditi who first described it when he was working in Vienna In (1910), and it is an incidental radiographic finding. This sign can be more frequently mistaken for pneumoperitoneum which is usually an indication of bowel perforation and can lead to needless surgical intervention. There are several case report reported in literature that describe the association between colonic volvulus and Chilaiditi syndrome that underline the frequent association between these anatomical condition instead no previous report described the association between Chilaiditi syndrome and large bowel obstruction secondary to a malignant sigmoid stenosis in a man presenting with symptoms and signs of upper respiratory distress combined with subacute bowel obstruction.
authors.affiliation: Emergency and Trauma Surgery Unit, Maggiore Hospital, Bologna Local Health District, L.go Nigrisoli 240100, Bologna, Italy.
authors.forename: Nicola
authors.initials: N
authors.lastname: Antonacci
authors.forename: Salomone
authors.initials: S
authors.lastname: Di Saverio
authors.forename: Andrea
authors.initials: A
authors.lastname: Biscardi
authors.forename: Eleonora
authors.initials: E
authors.lastname: Giorgini
authors.forename: Silvia
authors.initials: S
authors.lastname: Villani
authors.forename: Gregorio
authors.initials: G
authors.lastname: Tugnoli
mesh_terms: D012809:Colon, Sigmoid / Q000473:pathology*; D003251:Constriction, Pathologic / Q000150:complications / Q000175:diagnosis; D003964:Diaphragm / Q000000981:diagnostic imaging; D004417:Dyspnea / Q000209:etiology*; D006801:Humans; D007415:Intestinal Obstruction / Q000175:diagnosis* / Q000209:etiology*; D045822:Intestinal Volvulus / Q000000981:diagnostic imaging*; D007958:Leukocyte Count; D008099:Liver / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D012128:Respiratory Distress Syndrome / Q000209:etiology; D014057:Tomography, X-Ray Computed