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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The specific symptoms that occur depend upon the cause. Case 15 Case The etiology of Chilaiditi syndrome can be congenital or acquired.

Chilaiditi Syndrome

When evaluating a symptomatic patient chilaidii small bowel obstruction, clinicians should first rule out the more serious condition of pneumoperitoneum. Chilaiditi syndrome associated with transverse colon volvulus: CT can clearly demonstrate the presence of interposed colonic loops between the right hemidiaphragm and liver with no free intraperitoneal air.

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

She denied tobacco, alcohol, or illicit drug use.

These anatomic variations can include the absence, laxity, or elongation of the suspensory ligaments of the transverse colon or the falciform ligament, as well as dolichocolons or congenital malpositions. Image of the month. Sydnrome line Klemm’s sign.

The patient was then diagnosed with Chilaiditi sign, which could have been managed conservatively [ 1 ]. Zur Frage der Hepatoptose und Ptose im allgemeinen im anschluss an drei Falle von temporarer, partieller Leberverlagerung. This page was last edited on 20 Aprilat Upper Hematemesis Melena Lower Hematochezia.

The appropriate surgical approach depends on the nature of the interposed segment of the colon. Subscribe to Table of Contents Alerts.


Case 1 Case 1. Posteroanterior chest radiography revealed the presence of air below the right side of the diaphragm Figure 1a. This article has been cited by other articles in PMC. Case Reports in Surgery. Symptomatic morgagni hernia misdiagnosed as Chilaiditi syndrome. Thus, bowel decompression documented by a follow-up radiograph can confirm both the diagnosis of the condition and the success of the therapy, by showing the disappearance of sub diaphragmatic air and repositioning of distended intestine back to the normal position beneath the liver.

Rare Disease Database

Abdominal pain, constipation, vomiting, respiratory distress, anorexia, volvulus, and obstruction are possible presentations of Chilaiditi syndrome [ 1 ]. Gastrointestinal tract Goodsall’s rule Chilaiditi syndrome intussusception: View at Google Scholar.

Involvement of the transverse colon carries a high frequency of gangrene; therefore, syndtome reduction is not suggested [ 4 ]. Those with abdominal pain or distension are usually treated conservatively with analgesia and fluid resuscitation. Views Read Edit View history. The best imaging modality for visualization is CT scan which carries an added benefit of ruling out syndroms possibility of diaphragmatic rupture. Colonic interposition is usually an asymptomatic radiologic sign.

Further imaging by CT scan of the thorax, abdomen, and pelvis showed a loop of colon interpositioned between the liver and right hemidiaphragm, mimicking free air Figure 1. Chilaiditi syndrome should be considered as a rare cause of intestinal obstruction chilaidigi either the large or small bowel, as reported by Mateo de Acosta Andino and chilaidifi.

He was found to have Chilaiditi syndrome diagnosed by plain x-ray chest and abdomen and was confirmed with CT scan. The specific symptoms and presentation of Chilaiditi’s syndrome can vary greatly from one person to another. In his initial presentation, the patient was afebrile, with stable vital signs. In other projects Wikimedia Commons. 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 livervisible on plain abdominal X-ray or chest X-ray.


In recent years, surgical intervention has been increasingly used in ssyndrome to manage symptoms of chronic, intermittent abdominal pain [ 6 ]. AliLabeeb and the late Dr.

The sign can be permanently present, or sporadically. The finding revealed transverse colon interposition between liver and right diaphragm Figure 1b. This rare entity should be suspected in patients with abdominal pain, vomiting and free air under the right hemi-diaphragm in their chest x-ray, without the syndro,e condition of acute abdomen.

Chilaiditi’s Syndrome – NORD (National Organization for Rare Disorders)

It can also be associated with relative atrophy of the medial segment of the left lobe of the liver. The cause of Chilaiditi’s syndrome is not fully understood. Introduction Chilaiditi sign is defined as the interposition of bowels between the liver and right diaphragm [ 1 ].

Peritoneum Blumberg sign Rigler’s sign Cupola sign. 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 prior written authorization and approval from NORD. It is more common in older adults, but can occur at any age and has been reported in children.

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