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SAGE Open Med Case Rep. 2017 Dec 7;5:2050313X17744979. doi: 10.1177/2050313X17744979. eCollection 2017.

The liver and Chilaiditi's syndrome: Significance of hepatic surface grooves.

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Department of Clinical Surgical Sciences, The Faculty of Medical Sciences, University of the West Indies, St. Augustine, Trinidad & Tobago.


Chilaiditi's syndrome describes a symptomatic patient with radiographic findings of interposed colon between the diaphragm and right lobe of liver. It may mimic a pneumoperitoneum on plain radiographs. We present a case in which Chilaiditis' syndrome was entertained, delaying a decision for laparotomy. This case reinforces the diagnostic difficulty associated with Chilaiditi's syndrome, and it increases awareness of an uncommon variation in the liver surface anatomy.


Chilaiditi; Liver; diaphragm; grooves; slips; syndrome

Conflict of interest statement

Declaration of conflicting interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship and/or publication of this article.

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