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Chilaiditi's syndrome: colonic interposition in a young patient with abdominal pain
  1. Zishan Sheikh1,
  2. Afroze Khan2,
  3. Shahnawaz Khan3
  1. 1Gastroenterology, Stoke Mandeville Hospital, Aylesbury, Buckinghamshire, UK
  2. 2Maxillofacial Surgery, Guy's Hospital, London, UK
  3. 3Orthopaedics, William Harvey Hospital, Ashford, UK
  1. Correspondence to Dr Zishan Sheikh, Gastroenterology, Stoke Mandeville Hospital, Mandeville Road, Aylesbury, Buckinghamshire HP11 2TT, UK; zishan{at}doctors.org.uk

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A 20-year-old woman presented to the emergency department with a 2 day history of acute right upper quadrant abdominal pain, vomiting, and anorexia. On examination there was tenderness in the right upper quadrant, no rebound tenderness or guarding, and normal bowel sounds. Blood work revealed raised inflammatory markers with a normal acid-base balance and arterial lactate.

Erect chest radiography initially appeared to show evidence of sub-diaphragmatic free air. On senior review this was identified as transposition of the transverse colon …

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