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 %.

Author: Mekus Tygomuro
Country: Czech Republic
Language: English (Spanish)
Genre: Technology
Published (Last): 11 January 2014
Pages: 128
PDF File Size: 14.40 Mb
ePub File Size: 10.64 Mb
ISBN: 861-1-49381-842-6
Downloads: 92806
Price: Free* [*Free Regsitration Required]
Uploader: Ball

Chilaiditi syndrome | Radiology Reference Article |

In our case, the patient was initially believed to have either biliary colic or musculoskeletal pain. Chronic, recurrent episodes of abdominal pain are a common finding. Together we are strong.

The specific symptoms and presentation of Chilaiditi’s syndrome can vary greatly from one person to another [ 11 ]. 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. Pneumoperitoneum is the abnormal presence of gas or air within the abdominal sondrome. An interposed segment of bowel dhilaiditis also make it very diffcult to perform a potentially dangerous complication that can lead to perforation [ 5 ].

The sign can be permanently present, or sporadically. Eur J Pediatr Surg.

Splenic flexure chlaiditis in association with Chilaiditi syndrome: Diseases of the digestive system primarily K20—K93— EssamKhater for their help during management of this case. In most cases, interposition of a portion of colon between the liver and diaphragm does not cause symptoms asymptomatic and is often an incidental finding in the elderly.


J Sci Soc ; In his initial presentation, the patient was afebrile, with stable vital signs. Thank you for updating your details. Indexed in Web of Science.

Rare Disease Database

On the other hand, a misdiagnosis of bowel perforation might result in unnecessary surgical intervention. Abdominal ultrasound was unremarkable. However, variations in normal anatomy can lead to the pathologic interposition of the colon. This article has been cited by cholaiditis articles in PMC. For Permissions, please email: Case 6 Case 6. These symptoms can occur together in a wide variety of different combinations.

Chilaiditi Syndrome

A year-old Caucasian female presented to the emergency department with a chilaidittis history of nausea and worsening epigastric and right upper quadrant pain. Related articles in PubMed Chilaiditi syndrome.

The patient presented with epigastric and right upper quadrant pain sharp in nature with radiation to the right shoulder. One published report estimated the incidence at.

In this case, the gallbladder position is often anomalous as well — it is often located anterior to the liver, rather than posterior.

Fothergill’s sign Carnett’s sign. The best imaging modality for visualization is CT scan which carries an added benefit of ruling out the possibility of diaphragmatic rupture.


Case 15 Case On physical examination, the cardiovascular and respiratory exams were unremarkable. Chilaiditi’s sign in a child with nephrotic syndrome. Eponymous medical signs for digestive system and abdomen. Colonic interposition is usually an asymptomatic radiologic sign. By using this site, you agree to the Terms of Use and Privacy Policy. Clin Exp Nephrol ; Colonic gas in this position may be misinterpreted as true pneumoperitoneum resulting in further imaging, investigation and treatment that is not required.

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

Normally this causes cihlaiditis symptoms, and this is called Chilaiditi’ssign [ 1 ]. These include abdominal pain[2] torsion of the bowel transverse colon volvulus [3] or shortness of breath.

Comparisons may be useful ssindrome a differential diagnosis. Scleromalacia perforans in rheumatoid arthritis. In patients presenting with Chilaiditi syndrome, the most common symptoms are gastrointestinal eg, abdominal pain, nausea, vomiting, and constipationfollowed by respiratory sibdrome and, less frequently, anginalike chest pain. Such imaging techniques may include chest and abdominal x- rays, ultrasounds, or computerized tomography CT scanning.

In general, just as in our case, after conservative treatment, the symptoms may subside and urgent surgery is unnecessary. There were no signs of rebound tenderness, guarding, or ascites. Dis Colon Rectum ; Support Center Support Center.