Heart-touching Chilaiditi’s syndrome

Figure 3 Multiplane trans-esophageal echocardiography after air insufflation into the colon. A: supine position; B: left lateral decubitus. Confirming the CT scan findings, the change of posture resulted in frank contact (arrow) between the heart and the colon with blurring of each other’s contours. However, blood pressure, heart rate and oxygen saturation remained unchanged during the maneuver, indicating no alteration in cardiac hemodynamics. (RV: right ventricle; S: interventricular septum; C: air space corresponding to the colon).