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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Involvement of the transverse colon carries a high frequency of gangrene; chiladitis, colonoscopic reduction is not suggested [ 4 ]. CT can clearly demonstrate the presence of interposed colonic loops between the right hemidiaphragm and liver with no free intraperitoneal air. In the diagnosis of Chilaiditi sign, the first step is to rule out the possibility of pneumoperitoneum. The presentation and specific symptoms that develop can be significantly different.

Chilaiditi Syndrome

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West J Emerg Med. View at Google Scholar. It was believed that her interrupted large bowel obstruction was no longer intertwined between the liver and right hemidiaphragm. Chilaiditi syndrome caused by Fitz-Hugh-Curtis syndrome: The cause of Chilaiditi’s syndrome is not fully understood.

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Aust N Z J Surg ; Figure 1a and 1b: The treatment of Chilaiditi’s syndrome is directed toward the specific symptoms that are apparent in each individual. An interposed segment of bowel can also make it very diffcult to perform a colonoscopy.

These symptoms can occur together in a wide variety of different combinations. Ballance’s sign Traube’s sign Castell’s sign Kehr’s sign chilaiditiw CT view demonstrate a loop of colon interpositioned between the liver and right hemidiaphragm. The incidence of this syndrome ranges from 0.

Cullen’s sign Grey Turner’s sign. Report of three cases.

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

He had no surgeries in the past. Minimally invasive colopexy for pediatric Chilaiditi syndrome. Posteroanterior chest radiography revealed the presence of air below the right side of the diaphragm Figure 1a. Therefore, it is important to draw attention to the importance of this anomaly and its appropriate diagnosis and treatment to ensure the most favorable patient outcomes [ 15 ].


Postgrad Med J ; Asymptomatic patients with Chilaiditi syndrome do not require specific treatment. Chilaiditi syndrome is a rare condition occurring in 0. Check for errors and try again.

She denied emesis, dysphagia, early satiety, fever, chills, night sweats, melena, hematochezia, or any changes in her bowel habits. Case 11 Case Please review our privacy policy. aindrome

Chilaiditi syndrome should be considered as a rare cause of intestinal obstruction of either the large or small bowel, as reported by Mateo chilajditis Acosta Andino and associates.

Generally patients are asymptomatic but non-specific symptoms such as abdominal pain, distension, nausea, vomiting and constipation can be presented. About News Events Contact.

The patient was managed conservatively, nothing per month for 6 hours with analgesics and bed rest.