Year 2020 / Volume 112 / Number 2
Letter
Acute calculous cholecystitis in a patient with suprahepatic gallbladder, hepatic hypoplasia and Chilaiditi’s sign

156

DOI: 10.17235/reed.2020.6533/2019

José Ruiz Pardo, Andrés García Marín, Francisco Javier Ruescas García,

Abstract
Chilaiditi’s sign is the interposition of small bowel or colon between the liver and diaphragm. This incidental finding is seen in 0,025-0,28% of the chest and abdominal radiographies. Predisposing factors include the absence, laxity or elongation of the suspensory ligaments of the transverse colon, redundant colon or elevation of the right hemidiaphragm. Atrophy or hypoplasia of the liver is an uncommon cause of this radiological sign. On the other hand, suprahepatic gallbladder is the most infrequent location of gallbladder ectopies (0,026-0,7%). It is associated with an abnormal development of the right liver lobe such as agenesis, hypoplasia or atrophy. We present the case of a 73-year-old man with Chilaiditi’s sign, hepatic hypoplasia and acute calculous cholecystitis in an ectopic suprahepatic gallbladder.
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References
1. Lucas Ramos J, Poza Cordon J, Froilán Torres C, et al. Chilaiditi syndrome complicated by a sigmoid volvulus and hepatic displacement. Rev Esp Enferm Dig. 2018;110:195-6. DOI: 10.17235/reed.2017.5197/2017
2. Moaven O, Hodin RA. Chilaiditi syndrome: a rare entity with important differential diagnoses. Gastroenterol Hepatol (N Y). 2012;8:276-8.
3. Rosat A, Eiroa D. Acalculous cholecystitis in patient with hepatic hypogenesis and chilaiditi sign. Pan Afr Med J. 2015;21:297. DOI: 10.11604/pamj.2015.21.297.7675
4. Hessey JA, Halpin L, Simo KA. Suprahepatic Gallbladder. J Gastrointest Surg. 2015;19:1382-4. DOI: 10.1007/s11605-015-2771-x
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Ruiz Pardo J, García Marín A, Ruescas García F. Acute calculous cholecystitis in a patient with suprahepatic gallbladder, hepatic hypoplasia and Chilaiditi’s sign. 6533/2019


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Publication history

Received: 27/07/2019

Accepted: 03/08/2019

Online First: 27/01/2020

Published: 07/02/2020

Article Online First time: 184 days

Article editing time: 195 days


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