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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Acute Abdominal Pain Secondary to Chilaiditi Syndrome

Chilaiditi’s syndrome with associated angina. He denied specific contact and cluster history, but mentioned that he had undergone laparoscopic cholecystectomy more than 10 years prior. Erect chest x-ray showing air under right hemi-diaphragm. Chilaiditi syndrome can be initially misdiagnosed as a diaphragmatic hernia.

Investigational Therapies IInformation on current clinical trials is posted on the Internet at www. Some affected individuals may not require any therapy. By using this site, you agree to the Terms of Use and Privacy Policy. Thank you for updating your details. Acquired risk factors include chronic constipation, cirrhosis leading to chilaiditjs atrophy, obesity, multiple pregnancies, ascites, and paralysis of the right diaphragm [ 4 ].

Gastroenterol Hepatol N Y ; 8: Unable to process the form.

Chilaiditi syndrome

Receive exclusive offers and updates from Oxford Academic. The cause of Chilaiditi’s syndrome is not fully understood.

Pain distinguishes Chilaiditi syndrome from asymptomatic colonic interposition, which is termed as Chilaiditi sign. Severe recurrent abdominal pain: Chilaiditi syndrome is a rare chilaaiditis occurring in 0. An interposed segment of bowel can also make it very diffcult to perform a potentially dangerous complication that can lead to perforation [ 5 ]. No intervention is required for an asymptomatic patient with Chilaiditi sign.


Gastroenterol Hepatol N Y. About Blog Go ad-free. Case 2 Case 2. Chilaiditi sign is defined as the interposition of bowels between the liver and right diaphragm [ 1 ].

Clin Exp Nephrol ; When evaluating a symptomatic patient with small bowel obstruction, clinicians should first rule out the more serious condition of sindroome. The differential diagnoses of Chilaiditi syndrome can also include bowel obstruction, volvulus, intussusception, ischemic bowel, or infammatory conditions eg, appendicitis or diverticulitis.

Case report and literature review. Further imaging by CT scan of the sindrrome, abdomen, and pelvis showed a loop of colon inter positioned between the liver and right hemidiaphragm, mimicking free air Figure 2.

Email alerts New issue alert. An unusual cause of chest or abdominal pain.

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

Years Published The etiology of Chilaiditi syndrome can be congenital or acquired. This anatomical variant is sometimes mistaken for the more serious condition of having air under the diaphragm pneumoperitoneum which is usually an indication of bowel perforationpossibly leading sinrdome surgical interventions. Chilaiditi’s syndrome Colonic interposition.

Case Reports in Surgery.

Case Reports in Surgery

The condition occurs with greater frequency in individuals with chronic lung disease, scarring of the liver cirrhosisand the accumulation of fluid within the abdominal cavity ascites. Ansari H, Lay J. Symptomatic morgagni hernia misdiagnosed as Chilaiditi syndrome. Abdominal pain, constipation, vomiting, respiratory distress, anorexia, volvulus, and obstruction are possible presentations of Chilaiditi syndrome [ 1 ]. In most instances, the hallmark of therapy is conservative and consists of bed-rest, fluid supplementation, nasogastric decompression, enemas, high-fiber diets and stool softeners [ 12 ].


This article has been cited by other articles xindrome PMC. Colonic interposition is usually an asymptomatic radiologic sign. 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.

sihdrome Primary lung cancer and the Chilaiditi syndrome. In the diagnosis of Chilaiditi sign, the first step is to rule out the possibility of pneumoperitoneum. Chest radiograph showing radiolucent shadow under right hemidiaphragm suggestive of gas white solid arrow with marking suggestive of valvulae conniventes white arrow head Click here to view.

Synonyms or Alternate Spellings: Complete blood count was within normal range. Comparisons may be useful for a differential diagnosis. These anatomic variations can include the absence, laxity, or elongation of the sindro,e ligaments of the transverse colon or the falciform ligament, as well as dolichocolons or congenital malpositions.

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.

Colonic gas in this position may be misinterpreted as true pneumoperitoneum resulting in further imaging, investigation and treatment that is not required.