Chilaiditi's syndrome

1. Chilaiditi's Syndrome
A Case Report
By- Dr. Manoj Kumar ‘Arun’
Dr. Rajeev Kumar, and
Dr. Dharm Prakash Dwivedi

2. 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 liver

3. Visible on plain abdominal X-
ray or chest X-ray. Normally this
causes no symptoms, and this is
called Chilaiditi's sign.

4. diagnostic
Chilaiditi's sign is
interposition of
colon between the
liver and the right
hemidiaphragm

5.  First described by Demetrious Chilaiditi in 1910.
 The incidence in the general population ranges
from 0.025% to 0.28%.
 The sex ratio is 4:1, men to women
 Elder person is more vulnerable.
 No genetic predisposition

6. Sign and symptom
 Recurrent abdominal pain
 Abdominal discomfort
 Constipation
 Partial obstruction
 Nocturnal vomiting, and
 Recurrent volvulus involving transverse colon

7. Diagnosis
 Mainly radiological
Plain chest x-ray
USG
CT scan

8. Treatment
 Usually symptomatic.
 Surgical-
Transverse colectomy,
Right hemicolectomy, and
Hepatic extraperitonealisation