Chilaiditi's Sign: Lesser Known Cause for Elevated Diaphragm.

Received: 26.03.2015; Accepted: 06.06.2015 characterized by interposition of the small or large intestine between the liver and the right hemidiaphragm.1 When associated with symptoms it is referred as Chilaiditi’s syndrome. Chilaiditi’s s ign is an incidental radiological finding. Chilaiditi’s syndrome may have abdominal pain, vomiting, anorexia, constipation, flatulence, air swallowing and dyspnea . 2 The prevalence of Chilaiditi’s sign is 0.025% to 0.28%3 and more in elderly men.4 Chilaiditi’s sign is an acquired condition rather than a congenital.The causes include hepatic factors: ptosis of the liver, small liver, relaxation of the suspensory ligament and fixation of the liver due to adhesions; intestinal: absence of normal suspensory ligament of transverse colon, abnormality or absence of the falciform ligament, redundant colon, congenital malrotation or malposition of the colon, and diaphragmatic : paralysis or eventration.4,5