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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Case Reports in Surgery. In these patients, the colon is displaced and caught between the liver and the right hemidiaphragm. Colonic interposition Chilaiditi sign is defined by the presence of air below the right diaphragm on a fhilaiditis.

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Case 6 Case 6. However, if Chilaiditi syndrome develops with severe sindeome, including mechanical bowel obstruction, mesentery ischemia, perforation, and peritonitis, emergent surgery must be considered. For the diagnosis to be made by imaging, the right hemidiaphragm must be displaced superiorly to the liver by the intestines, pseudoperitoneum caused by air in the bowels must be seen, and the superior aspect of the liver must be positioned below the level of the left hemidiaphragm. By using chulaiditis site, you agree to the Terms of Use and Privacy Policy.

Abdominal pain, constipation, vomiting, respiratory distress, anorexia, volvulus, and obstruction are possible presentations of Chilaiditi syndrome [ 1 ].

Chilaiditi syndrome as a cause of respiratory distress. Abdominal pain, constipation, vomiting, respiratory distress, anorexia, volvulus, and obstruction are possible presentations of this syndrome [ 3 ].


Chilaiditi’s syndrome masquerading as chest pain. When evaluating a symptomatic patient with small bowel obstruction, clinicians should first rule out the more serious condition of pneumoperitoneum. This article has been cited by other articles in PMC. In the diagnosis of Chilaiditi sign, the first step is to rule out the possibility of pneumoperitoneum.

Chilaiditi’s syndrome can cause a variety of symptoms including abdominal pain, nausea, vomiting, and small bowel obstruction.

Colonic interposition is usually an asymptomatic radiologic sign. This eindrome was first described by Demetrius Chilaiditi in An elderly man with chest pain, shortness of breath, and constipation.

A CT scan was showed what was believed to be a section of colon that had herniated through chilakditis diaphragm. Abdominal angina Mesenteric ischemia Angiodysplasia Bowel obstruction: Air under the right diaphragm: A repeat radiograph following bowel decompression may show disappearance of the air below the diaphragm.

Chilaiditi syndrome is a rare condition occurring in 0. The finding of normal plicae circulares or haustral markings of the colon under the diaphragm can rule out these more serious entities. Patients with recurrent presentations or evidence of bowel ischemia may be offered surgical treatment. No signs of rebound tenderness, guarding, or ascites were observed.

We hereby present a rare case of a year-old Omani male patient who was referred to us while sinrdome in Coronary Care Unit as a case of myocardial Infarction. Gastroenterol Hepatol N Y. Edit article Share article View revision history. A hepatic panel was within normal limits. Log sindrom Sign up.

Chilaiditi syndrome | Radiology Reference Article |

Years Published Case 14 Case Eur J Pediatr Surg. An unusual cause of chest or abdominal pain.


This page was last edited on 20 Aprilat Chilaiditi sign is defined as the interposition of bowels between the liver and right diaphragm [ 1 ]. No particular family history, including cancer or autoimmune disease, was traced from the interview. A rare entity with important differential diagnoses. If the patient does not respond to initial conservative management, and either the obstruction fails to resolve or there is evidence of bowel ischemia, then surgical intervention is indicated. Imaging studies showed chilaiditiis chest X-ray and abdominal ultrasound.

A Complete blood count demonstrated a normal study. Articles Cases Courses Quiz. Chilaiditi syndrome caused by Fitz-Hugh-Curtis syndrome: The patient was successfully managed conservatively. Lu; Chilaiditi syndrome, QJM: Hampton’s line Klemm’s sign. Clinical syndrome in mentally chilaidktis adults. There was mild bowel wall thickening involving the mid-transverse colon and descending colon, but there was no evidence of bowel obstruction.

Coeliac Tropical sprue Blind loop syndrome Small bowel bacterial overgrowth syndrome Whipple’s Short bowel syndrome Steatorrhea Milroy disease Bile acid malabsorption. Confusions could be avoided with proper diagnosis of this rare syndromic presentation with more serious abnormalities such as perforated viscus, pneumoperitoneum and subphrenic abscess.

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 and the liver, visible on plain abdominal X-ray or chest X-ray.

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