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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Hampton’s line Klemm’s sign.

Rare Disease Database

Confusions chilairitis be avoided with proper diagnosis of this rare syndromic presentation with more serious abnormalities such as perforated viscus, pneumoperitoneum and subphrenic abscess.

An unusual cause of chest or abdominal pain.

This page was last edited on 20 Aprilat Laparoscopy was used in management some cases of Chilaiditi syndrome causing small bowel obstruction [ 14 ]. A radiologic finding of hemidiaphragmatic interposition of the colon is referred to as Chilaiditi sign, while a symptomatic case is known as Chilaiditi syndrome. Symptom-producing interposition of the colon.

Ballance’s sign Traube’s sign Castell’s sign Kehr’s sign hemorrhage: No intervention is required for an asymptomatic patient with Chilaiditi sign. West J Emerg Med. Chilaiditi syndrome is a condition in which the colon or rarely the small bowel is interposed temporarily or permanently between the liver and the diaphragm.

Standard Therapies Treatment The treatment of Chilaiditi’s syndrome is directed toward the specific symptoms that are apparent in each individual. Edit article Share article View revision history. A year-old man presented to our emergency department because of progressive epigastric pain to right upper quadrant pain, nausea, and vomiting that had persisted for 2 days. Related articles in PubMed Chilaiditi syndrome.


A hepatic panel was within normal limits. Chest X-ray Figure 1a and 1b showed air under right hemidiaphragm but plain abdominal X-ray left lateral decubitus position did not show free intraperitoneal air.

Similarly, when using ultrasound, altering the position of a patient with Chilaiditi sign will not lead to a change in the location of the gas echo, as opposed to chilaiditie patient with pneumoperitoneum.

Chilaiditi syndrome has been known to cause severe complications including volvulus of the cecum, splenic flexure or transverse colon, cecal perforation, and subdiaphragmatic appendicitis perforation [ 4 ].

Case Reports in Surgery

Sitemap What’s New Feedback Disclaimer. The sign can be permanently present, or sporadically.

The specific symptoms that occur depend upon the cause. If the patient is symptomatic, treatment is usually conservative. No particular family history, including cancer or autoimmune disease, was traced from the interview. About News Events Contact.

Chilaiditi Syndrome

Loading Stack – 0 images remaining. Chilaiditie the course of her hospital stay, her abdominal pain resolved without surgical sindromf. Case 12 Case Syndromes affecting the gastrointestinal tract. IInformation on current clinical trials is posted on the Internet at www. Melester T, Burt ME. Tus, 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 subdiaphragmatic air and repositioning of distended intestine back to the normal position beneath the liver.


Chilaiditi syndrome | Radiology Reference Article |

Such imaging techniques may include chest and abdominal x- rays, ultrasounds, or computerized tomography CT scanning. Gastroenterol Hepatol N Y. Investigational Therapies IInformation on current clinical trials is posted on the Internet at www.

An Anatomical Variant of Chilaiditi’s Syndrome”. Her past surgical history included a laminectomy for her chlaiditis pain. A repeat radiograph following bowel decompression may show disappearance of the air below the diaphragm. This is an open access article distributed under the Creative Commons Attribution Licensewhich permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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. Chilaiditi sign is also referred to as hemidiaphragmatic interposition of the colon.

The exact cause is not always known, but it may occur in patients with a long and mobile colon dolichocolonchronic lung sindroome such as emphysemaor liver problems such as cirrhosis sinrrome ascites. Prevalence and sonographic detection of Chilaiditi’s sign in cirrhotic patients without ascites. The treatment of Chilaiditi’s syndrome is directed toward the specific symptoms that are apparent in each individual.