Chilaiditi's syndrome is a rare condition where a loop of the transverse colon is located between the liver and diaphragm, causing pain. It is usually asymptomatic but can cause abdominal pain, discomfort, constipation, vomiting, and partial obstruction. Diagnosis is typically made through chest x-rays and CT scans showing the interposed colon. Treatment involves surgery if the patient becomes symptomatic to correct the colon placement.

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