Chilaiditi Syndrome: An Unusual Case Report

Author(s): Tika Ram Bhandari, Sudha Shahi, Sarfaraz Alam Khan

Chilaiditi sign is considered as the interposition of bowels between the liver and right diaphragm radiologically while the symptomatic case is defined as Chilaiditi syndrome. Chilaiditi Syndrome is a very uncommon disorder. Prevalence described varies from 0.25% to 0.28% of the population. There are very few reports reported about association of Chilaiditi syndrome with recurrent abdominal pain in the literature, we report, a patient presenting with acute abdomen and acute kidney injury accompanied by Chilaiditi sign that successfully managed conservatively. Chilaiditi sign should be a differential diagnosis in all patients with air under the right sub diaphragm and prompt recognition by presence of haustrations in hepatodiaphragm can avoid avoidable surgical interventions.