Chilaiditi syndrome is the anterior interposition of the colon to the liver reaching the under-surface of the right hemidiaphragm with associated upper abdominal. Chilaiditi syndrome is a rare condition when pain occurs due to transposition of a loop of large intestine (usually transverse colon) in between the diaphragm. Chilaiditi syndrome is the interposition of the colon between the liver and the right hemidiaphragm. The incidence of this syndrome ranges from % to %.

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Symptom-producing interposition of the colon. The specific symptoms and presentation of Chilaiditi’s syndrome can vary greatly from one person to another [ 11 ]. Case 6 Case 6.

Chilaiditi Syndrome

It furthers the University’s objective of excellence in research, scholarship, and education chilaidtis publishing worldwide. The patient was successfully managed conservatively. Thank you for updating your details. Intensivists referred him to General surgery as they detected a suspicious presence of gas under the diaphragm pneumoperitoneum. In addition, Chilaiditi syndrome has been linked with pulmonary and gastrointestinal malignancies [ 4 ].

His family history was significant for hypertension. Cecopexy may be adequate to eliminate the possibility of recurrence in an uncomplicated cecal volvulus, unless gangrene or perforation necessitates surgical resection. Chilaiditi syndrome should be considered as a rare cause of intestinal obstruction of either the large or small bowel, as reported by Mateo de Acosta Andino and associates.

Prevalence and sonographic detection of Chilaiditi’s sign in cirrhotic patients without ascites. This condition occurs in 0. The finding of normal plicae circulares or haustral dindrome of the colon under the diaphragm can rule out these more serious entities. Chiilaiditis interposition in children.


Abdominal pain, constipation, vomiting, respiratory distress, anorexia, volvulus, and obstruction are possible presentations of Chilaiditi chilaidktis [ 1 ]. Case 10 Case J Pediatr Gastroenterol Nutr. He was discharged uneventfully after medical therapy and remained symptom-free during 6 months of follow-up.

Related articles Chest pain Chilaiditi’s syndrome small bowel. Neither free air in the peritoneal cavity nor mechanical obstructive lesion was observed in the images. For Permissions, please email: Colonic gas in this position chiaiditis be misinterpreted as true pneumoperitoneum resulting in further imaging, investigation and treatment that is not required.

These symptoms can occur together in a wide variety of different combinations. The content of the website and databases of the National Organization for Rare Disorders NORD is copyrighted and may not be reproduced, copied, downloaded or disseminated, in any way, for any commercial or public purpose, without prior written authorization and approval from NORD. Case 4 Case 4. View at Google Scholar A. Unable to process the sindorme.

J Sci Soc ; AliLabeeb and the late Dr. Splenic flexure volvulus in association with Chilaiditi syndrome: This rare entity should be suspected in patients with abdominal pain, vomiting and free air under the right hemi-diaphragm in their chest x-ray, without the clinical condition of acute abdomen.

Case Reports in Surgery

With normal human anatomy, chilaidiyis suspensory ligaments chilairitis the liver, mesocolon, liver, and the falciform ligament are situated in a manner that minimizes space surrounding the liver and prevents interposition of the colon. Diagnosis A diagnosis of Chilaiditi’s syndrome is made based upon imaging radiographic confirmation of the abnormal positioning of the colon and the occurrence of associated symptoms.


Chilaiditi’s syndrome is a rare condition in which a portion of the colon is sindtome located interposed in between the liver and the diaphragm. The sex ratio is 4: Chilaiditi sign or syndrome. Patients’ symptoms can range from asymptomatic to acute intermittent bowel obstruction. Gastroenterol Hepatol N Y ; 8: Features that suggest a Chilaiditi syndrome i. Diseases of the digestive system primarily K20—K93— Chilaiditi syndrome can be a self-resolving or a chronic condition [ 3 ]. Comparisons may be useful for a differential diagnosis.

In these patients, the colon is displaced and caught between the liver and the right hemidiaphragm. The best imaging modality for visualization is CT scan which carries an added benefit of ruling out the possibility of diaphragmatic rupture. Ligaments are tough, fibrous bands of tissue that primarily serve to connect or support structures within the body. A patient is predisposed to Chilaiditi syndrome when there is deviation of the structures surrounding the liver.

Case 7 Case 7. Decreased bowel sound was also present. Such imaging techniques may include chest and abdominal x- rays, ultrasounds, or computerized tomography CT scanning.

Patients with recurrent presentations or evidence of bowel ischemia may be offered surgical treatment.