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ABSTRACT: Fulminant hepatic failure is a medical emer-gency. When this condition declared itself irreversible, atimely liver transplantation is the only effective treatment.A 34-year-old Chinese with fulminant hepatic failure wasevaluated as a potential liver transplantation candidate. Onthe erect chest radiograph, Chilaiditi’ s sign has developedover a very short period of a week due to rapid shrinkage ofthe liver. Awareness of Chilaiditi’ s sign facilitated distin-guishing the condition of free gas under the diaphragm dueto bowel perforation and subphrenic abscess by gas formingmicro-organisms. Rapidity of onset of this sign parallels thedeterioration of liver function and reflects the urgency ofcondition.
ABSTRACT: Fulminant hepatic failure is a medical emer-gency. When this condition declared itself irreversible, a timely liver transplantation is the only effective treatment. A 34-year-old Chinese with fulminant hepatic failure wasevaluated as a potential liver transplantation candidate. Onthe erect chest radiograph, Chilaiditi ’s sign has developed over a short period of a week due to rapid shrinkage of the liver. Awareness of Chilaiditi’ s sign facilitated distin-guishing the condition of free gas under the diaphragm dueto bowel perforation and subphrenic abscess by gas forming micro- Rapidity of onset of this sign parallels thedeterioration of liver function and reflected the urgency of condition.