Saudi Journal of Gastroenterology
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RADIOLOGY QUIZ Table of Contents   
Year : 2009  |  Volume : 15  |  Issue : 4  |  Page : 291-292
Air below the right diaphragm

Post Graduate Trainee, Mayo Hospital, Lahore, Pakistan

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Date of Web Publication30-Sep-2009

How to cite this article:
Khan A, Waqas S. Air below the right diaphragm. Saudi J Gastroenterol 2009;15:291-2

How to cite this URL:
Khan A, Waqas S. Air below the right diaphragm. Saudi J Gastroenterol [serial online] 2009 [cited 2021 Feb 24];15:291-2. Available from:

   Case Scenario Top

A young woman aged 25 years presented to the emergency department with nausea and abdominal pain for a couple of hours. She had no medical or surgical history. On examination, her vitals were normal. There was some tenderness in the epigastric region, but other than that no significant clinical findings were noted. Electrocardiogram and all the routine blood tests were normal. Her chest X-ray (posteroanterior view) was done and is shown below [Figure 1]. She had no previous X-rays.

   Questions Top

  1. Describe the radiological sign shown in the [Figure 1]?
  2. What is the difference between the associated sign and the syndrome?
  3. Name a few conditions associated with this sign?
  4. How will this patient be managed?

Click here to view answer. View Answer

   References Top

1.Nakagawa H, Toda N, Taniguchi M, Ibukuro K, Tagawa K. Prevalence and Sonographic Detection of Chilaiditi's sign in Cirrhotic Patients Without Ascites. AJR 2006;187:W589-93.  Back to cited text no. 1      
2.Glatter RD, April RS, Miskovitz P, Neistadt LD. Severe Recurrent Abdominal Pain: An Abdominal Variant of Chilaiditi's Syndrome. MedGenMed 2007;9:67.  Back to cited text no. 2      
3.Demirbas S, Kurt Y, Akin ML, Ozturk A, Celenk T. Chilaiditi's syndrome with pancreatic malignancy. Turkjcancer 2007;37:117-9.  Back to cited text no. 3      

Correspondence Address:
Aaisha Khan
99- BB, Phase 4, Defence Housing Authority, Lahore
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1319-3767.56088

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  [Figure 1]


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