Case Reports
Unusual Cause of Abdominal Pain: The Chilaiditi Syndrome
Author(s):
Iness Naceur*, F Daoud, I Rachdi, M Somai, I Arbaoui, H Zoubeidi, Z Aydi, B Ben Dhaou and F Boussema
Chilaiditi syndrome is the association of a radiological and clinical semiology of the interposition
of a bowel (usually the transverse colon) between the liver and the diaphragm. We report a case
of a 59 year-old woman with medical history of recurrent vena thrombosis and ovarian mass,
who presented with epigastric crampy pain, nausea, vomiting and diarrhea. On examination
there was tenderness in the right upper quadrant. Chest X-ray showed the presence of air
below the right side of the diaphragm. Abdominal computed tomography confirmed the
hepatodiaphragmatic interposition of the colon consistent with Chilaiditi syndrome. In the
absence of loco regional complication, treatment was conservative. Chilaiditi syndrome is a rare
condition which can be due to anatomical variation or to a predisposing condition such as intra-
abdominal mass. This misdiagnosed en.. Read More»
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