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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In these patients, the colon is displaced and caught between the liver and the right hemidiaphragm. Chilaiditi sign or syndrome. Lekkas CN, Lentino W.

Isbister WH, Bellamy P. No particular family history, including cancer or autoimmune disease, was traced from the interview. In one case it was complicated by megacol on progressed to heart failure casing death.

J Pediatr Gastroenterol Nutr. 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.

Moaven Chilaidjtis, Hodin RA. How to cite this URL: Chilaiditi syndrome refers only to complications in the presence of Chilaiditi’s sign. Coeliac Tropical sprue Blind loop syndrome Small bowel bacterial overgrowth syndrome Whipple’s Short bowel syndrome Steatorrhea Milroy disease Bile acid malabsorption.

The finding revealed transverse colon interposition between liver and right diaphragm Figure 1b. The diaphragm is the muscle that separates the chest cavity from the abdomen.


Over a century ago, the radiologist Demetrius Chilaiditi reported a small case series of 3 patients with the incidental radiologic finding of colonic interposition between the liver and diaphragm. Gangrenous or ischemic bowel segments may have to be removed if there is associated colonic volvulus. During the course of her hospital stay, her abdominal pain resolved without surgical intervention.

However, variations in normal anatomy can lead to the pathologic interposition of the colon. The patient was managed conservatively, nothing per month for 6 hours with analgesics and bed rest. How to cite this article: He had no surgeries in the past.

Chilaiditi sign is also referred to as hemidiaphragmatic interposition of the colon. Peritoneum Blumberg sign Rigler’s sign Cupola sign. CT can clearly demonstrate the presence of interposed colonic loops between the right hemidiaphragm and liver with no free intraperitoneal air. Proctitis Radiation proctitis Proctalgia fugax Rectal prolapse Anismus.

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 ]. Diagnosis is best achieved with CT imaging. The content of the website and databases of chilaidltis 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.

Chilaiditi’s syndrome masquerading as chest pain Goel A, Dewanda NK – J Sci Soc

Together we are strong. Her past medical history included GERD, anxiety, and chronic lower back pain, which was controlled with omeprazole, alprazolam, and ibuprofen, respectively.

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A year-old Caucasian female presented to the emergency department with a hour history of nausea and worsening epigastric and right upper quadrant pain. For Permissions, please email: If the chilaiditks is symptomatic, treatment is usually conservative.

Chilaiditi Syndrome

Chilaiditi syndrome can be initially misdiagnosed as a chilaidjtis hernia. He then received conservative treatment with fasting, nasogastric tube decompression, and pain control, and the symptoms improved 2 days later. Neither free air chilairitis the peritoneal cavity nor mechanical obstructive lesion was observed in the images. Ascites can be associated with a wide variety of medical conditions. 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.

Surgical techniques that have been used to treat individuals with Sindromr 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. Dis Colon Rectum ; Erect chest x-ray showing air under right hemi-diaphragm. EssamKhater for their help during management of this case.