PMC7276389_01
Pre-op x-ray chest with Chilaiditis Sign (a); Post-op x-ray chest (normal) (b).
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Upon no improvement, the patient revisited the ED where chest x-ray (CXR) as primary imaging modality was requested by surgeon on-call that showed raised right hemidiaphragm with no well discernible outlines, air-filled bowel loops above the hepatic shadow, a chilaiditi's sign, with no mediastinal shift (Fig. 1a), thus a provisional diagnosis of the right-sided diagrammatic hernia was made. Post-operative chest x-ray shows normal findings (Fig. 1b).
Non-contrast CT-Intrathorasic Extrusion of Spleen, Stomach and Bowels (a); Non-contrast CT-retrocardiac spleen (b).
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