Incidental finding of Chilaiditi sign in a Nigerian hypertensive: a case report

Abstract

The patient was a 54 year old male Nigerian from Plateau State. He was a hypertensive on Moduratic when consulted BNO in January 2010 for forgetfulness and blood pressure control. Physical examination was negative but for severe hypertension of 230/140 mmHg in the supine position. Chilaiditi sign was noticed on chest X-Ray requested as part of cardiovascular evaluation. We are reporting this as a rarity which has not been previously documented from Nigeria. In medical literature to the best of our knowledge. Clinicians should be aware of this to avoid misdiagnosis of visceral rupture and unwarranted surgical intervention