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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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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 clinical condition of acute abdomen.

Chilaiditi syndrome | Radiology Reference Article |

To receive news and publication updates for Case Reports in Surgery, enter your email address in the box below. If the patient is symptomatic, treatment is usually conservative.

He was then allowed to take regular syncrome gradually after 6hours, he tolerated oral feeds and was discharged later without any significant symptoms. The removal of pressure from the intestines bowl decompression has alleviated symptoms in some cases.

Table of Contents Alerts. Chilaiditi syndrome is a rare condition when pain occurs due to transposition of a loop of large intestine usually transverse chilaidii in between the diaphragm and the liver, chilxiditi on plain abdominal X-ray or chest X-ray. Melester T, Burt ME.


In recent years, surgical intervention has been increasingly used in order to manage symptoms of chronic, intermittent abdominal pain [ 6 ]. For the diagnosis to be made by imaging, the right hemidiaphragm must be displaced superiorly to the liver by the intestines, pseudo-pneumo peritoneum caused by air sydnrome the bowels must be seen, and the superior aspect of the liver must be positioned below the level of the left hemidiaphragm.

However, as mentioned above, these intestinal disorders can also occur within the interposed colon in rare instances.

Chilaiditi syndrome

Identification of Chilaiditi syndrome is clinically significant as it can lead to many significant complications such as volvulus, perforation, and bowel obstruction. He is a non-smoker, non-alcoholic and does not use any abusive drugs. Chilaiditi syndrome as a cause of respiratory distress. Edit article Share article View revision history.

Diagnosis A diagnosis of Chilaiditi’s syndrome is made based upon imaging radiographic chilaiidti of the abnormal positioning of the colon and the occurrence of associated symptoms. Colonic interposition Chilaiditi sign is defined by the presence of air below the right diaphragm on a radiograph.

Under normal conditions, suspensory fhilaiditi and fixation of the colon impede interposition of the colon between the liver and diaphragm. IInformation on current clinical trials is posted on the Internet at www. Minimally invasive colopexy for pediatric Chilaiditi syndrome. Diseases of the digestive system primarily K20—K93— Abdominal pain, constipation, vomiting, respiratory distress, anorexia, volvulus, and obstruction are possible presentations of Chilaiditi syndrome [ 1 ].


Scleromalacia perforans in rheumatoid arthritis. The right hemidiaphragm must be adequately elevated above the liver by the intestine, the bowel must be distended by air to illustrate pseudopneumoperitoneum, and the superior margin chilaiditu the liver must be depressed below the level of the left hemidiaphragm.

Predisposing congenital abnormalities include absent suspensory or falciform ligaments, redundant colon, malpositions, dolichocolons, and paralysis of the right diaphragm [ 14 ]. Introduction Chilaiditi sign is defined as the interposition of bowels between the liver and right diaphragm [ 1 ].

All studies receiving U. A CT scan was showed what was believed to be a section of colon that had herniated through the diaphragm. Chilaiditi syndrome is extremely rare. Gastroenterol Hepatol N Y ; 8: He denied specific contact and cluster history, but mentioned that he had undergone laparoscopic cchilaiditi more than 10 years prior. Erect chest x-ray showing air under right hemi-diaphragm. Years Published Goodsall’s rule Chilaiditi syndrome intussusception: Ascites can be associated with a wide variety of medical dhilaiditi.

Patients’ symptoms can range from asymptomatic to acute intermittent bowel obstruction.

He had no surgeries in the past. Abdominal ultrasound was unremarkable.