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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Syndromes affecting the gastrointestinal tract.

Case Reports in Surgery

Postgrad Med J ; Comparisons may be useful for a differential diagnosis. Articles containing German-language text Infobox medical condition. With regard to treatment of Chilaiditi syndrome, conservative management bed rest, intravenous fluids, nasogastric decompression, enemas, cathartics, high fiber diet, and stool softeners should be attempted first [ 1 ].

Chilaiditi sign is defined as the interposition of bowels between the liver and right diaphragm [ 1 ]. Pneumoperitoneum can have sinvrome variety of different causes. Minimally invasive colopexy for pediatric Chilaiditi syndrome. When evaluating a symptomatic patient with small bowel obstruction, clinicians should first rule out the more serious condition of chjlaiditis.

Chilaiditi syndrome

Chilaiditi’s syndrome is a rare condition in which a portion of the colon is abnormally located interposed in between the liver and the diaphragm. Chilaiditi syndrome is the interposition of the colon between the liver and the right hemidiaphragm.


Chilaiditi syndrome complicated by cecal perforation. View at Google Scholar A.

I acknowledge the assistance offered by our hospital Radiologist Dr. Identification of Chilaiditi syndrome is clinically significant as it can lead to many significant complications such as volvulus, perforation, and bowel obstruction. Related articles Chest pain Chilaiditi’s syndrome small bowel.

Chilaiditi Syndrome

The Chilaiditi syndrome and associated volvulus of the transverse colon. Pain distinguishes Chilaiditi syndrome from asymptomatic colonic interposition, which is termed as Chilaiditi sign.

Normally this causes no symptoms, and this is called Chilaiditi’s sign. In other projects Wikimedia Commons. A repeat radiograph following bowel decompression may show disappearance of the air below the diaphragm.

Chilaiditi syndrome | Radiology Reference Article |

This rare entity should be suspected in patients chilaiditls abdominal pain, vomiting and free air under the right hemi-diaphragm in their chest x-ray, without the clinical condition of acute abdomen.

Neither free air in the peritoneal cavity nor mechanical obstructive lesion was observed in the images. Thank you for updating your details.

This condition occurs in 0. She did not recall having a similar experience before. Receive exclusive offers and updates from Oxford Academic. Surgical techniques that have been used to treat individuals with Chilaiditi’s syndrome include the removal of a portion of the colon transverse colectomy or right hemicolectomy or the anchoring of a displaced liver to the abdominal wall hepatopexy.


Intensivists referred him to General surgery as they detected a suspicious presence of gas under the diaphragm pneumoperitoneum. West J Emerg Med. No extraluminal free air can be observed. 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. Ascites can be associated with a wide variety of medical conditions. In rare cases, symptoms do develop; these cases are referred to as Chilaiditi’s syndrome.

Primary lung cancer and the Chilaiditi syndrome. By using this site, you agree to the Terms of Use and Privacy Policy. Case 13 Case There were no signs of rebound tenderness, guarding, or ascites. Subscribe to Table of Contents Alerts. Introduction Chilaiditi sign is defined as the interposition of bowels between the liver and right diaphragm [ 1 ]. Her past surgical history included a laminectomy for her back pain.

Report of three cases. Support Radiopaedia and see fewer ads. Loading Stack – 0 images remaining.