Chilaiditi syndrome

Case contributed by Dr Bruno Di Muzio


Right sided abdominal pain. Previous history of appendectomy. No fever or abnormal blood tests.

Patient Data

Age: 58-year-old
Gender: Female

CT Abdomen and pelvis

Non-contrast abdomen and pelvis CT showing the right colonic angle interposed between the liver and the anterior portion of the right diaphragm. There is normal fecal content along the colon, especially in the ascending colon. The remainder exam is unremarkable. 

Please note that the axial images were reformatted with thick slices and thus there are some artefactual hyperintense foci along the diaphragms. 

Case Discussion

Despite the not so prominent interposition of the colon between the diaphragm and the liver, this case was managed as a Chilaiditi syndrome based in both the clinical and imaging data. It was treated conservatively with analgesia and later improvements of the symptoms. 

PlayAdd to Share

Case information

rID: 41919
Published: 29th Dec 2015
Last edited: 29th Dec 2015
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.