Chilaiditi syndrome refers to a group of symptoms caused by the interposition of the colon between the liver and the diaphragm, including abdominal pain, abdominal distension and fullness, and vomiting.

bubble_chart Etiology

Congenital anomalies of the falciform ligament or conditions such as diaphragmatic relaxation, paralysis, dyskinesia, colonic distension, or severe emaciation can cause part of the colon to become embedded between the liver and the diaphragm. This condition may be temporary or persistent. Symptoms are often noticeable in pediatric patients, whereas adults typically remain asymptomatic.

bubble_chart Clinical Manifestations

It manifests as upper abdominal pain and fullness, with symptoms alleviating or disappearing in the supine position. It may be accompanied by shoulder pain, back pain, constipation, and aerophagia, and occasionally presents with colicky pain-like symptoms.

bubble_chart Auxiliary Examination

X-ray and B-mode ultrasound can show the presence of gas-filled colon and haustra between the diaphragm and the liver.

bubble_chart Treatment Measures

This condition usually does not require treatment. Avoid excessive air swallowing and consuming foods that produce excessive gas. Lying flat can help relieve pain during episodes.

bubble_chart Differentiation

It needs to be differentiated from gastrointestinal perforation and hepatic flexure; supine position; dietary syndrome.