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 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 occurring in % to % of the population. In these patients, the colon is displaced and caught.

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Ascites can be associated with a wide variety of medical conditions. Case 7 Case 7.

Chilaiditi syndrome | QJM: An International Journal of Medicine | Oxford Academic

When no symptoms are present, this clinical finding is referred syndome as Chilaiditi’s sign. The pain was sharp in nature and radiated to the right shoulder. To receive news and publication updates for Case Reports in Surgery, enter your email address in the box below.

Gastrointestinal tract Goodsall’s rule Chilaiditi syndrome intussusception: Administration of carbon dioxide as the insufflating agent for colonoscopy is appropriate for decreasing this risk.

Chilaiditi Syndrome

An interposed segment of bowel can also make it very diffcult to perform a colonoscopy. However, variations in normal anatomy can lead to the pathologic interposition of the colon. This is by virtue of the fact that a syndrome is a collection of signs and symptoms. We present a rare case of a year-old female who presented with epigastric and right upper quadrant pain with radiation to the right shoulder. Chilaiditi syndrome can be a self-resolving or a chronic condition [ 4 ].


It furthers the University’s objective of excellence in research, scholarship, and education by publishing worldwide. Case Reports in Surgery. Radiographic features Treatment and prognosis History and etymology References Images: Identification of Chilaiditi syndrome is clinically significant as it can lead to many significant complications such as volvulus, perforation, and bowel obstruction.

Normally this causes no symptoms, and this is called Chilaiditi’ssign [ 1 ].

In these patients, the colon is displaced and caught between the liver and the right hemidiaphragm. In some cases, surgical intervention may be required.

The diaphragm is the muscle that separates the chest cavity from the abdomen. Case 5 Case 5.

Chilaiditi syndrome – Wikipedia

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 chiladiiti written authorization and approval from NORD. Chilaiditi syndrome is the anterior interposition of the colon to the liver reaching the under-surface of the right hemidiaphragm with associated upper abdominal pain; it is one of the causes of pseudopneumoperitoneum.

Basic laboratory studies revealed mild hypokalemia 3.

Case 15 Chioaiditi West J Emerg Med. Anatomic distortions can also result from functional disorders such as chronic constipation colonic elongation and redundancyaerophagia gaseous distension of the coloncirrhosis liver atrophy or relative atrophy in the medial segment of the left lobe of the liverdiaphragmatic paralysis, chronic lung disease enlargement of the lower thoracic cavityobesity, multiple pregnancies, and ascites increased intra-abdominal pressure.


Chilaiditi syndrome as a cause chilxiditi respiratory distress. The specific symptoms that occur depend upon the syndroms. Chilaiditi’s sign is generally not associated with symptoms, and is most commonly an incidental finding in normal individuals. Normally this causes no symptoms, and this is called Chilaiditi’s sign. Cecopexy may be adequate to eliminate the possibility of recurrence in an uncomplicated cecal volvulus, unless gangrene or perforation necessitates surgical resection.

Abdominal angina Mesenteric ischemia Angiodysplasia Bowel obstruction: Abdominal pain may be mild and come and go intermittent. Moreover, changing the position of a patient with Chilaiditi sign will not change the position of the radiolucency, unlike in a patient with cholaiditi air. It was believed that her interrupted large bowel obstruction was no longer intertwined between the liver and right hemidiaphragm. Chilaiditi syndrome is extremely rare. But a proper workup and keeping syndeome mind the possibility of Chilaiditi syndrome kept the patient out of the operating room for what would have proven to be an unnecessary procedure.