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. 2013:2013:756590.
doi: 10.1155/2013/756590. Epub 2013 Jul 1.

Acute abdominal pain secondary to chilaiditi syndrome

David Kang  1 , Andrew S Pan, Michael A Lopez, Jessica L Buicko, Miguel Lopez-Viego
Affiliations

Acute abdominal pain secondary to chilaiditi syndrome

David Kang et al. Case Rep Surg. 2013.

Abstract

Chilaiditi syndrome is a rare condition occurring in 0.025% to 0.28% of the population. In these patients, the colon is displaced and caught between the liver and the right hemidiaphragm. Patients' symptoms can range from asymptomatic to acute intermittent bowel obstruction. Diagnosis is best achieved with CT imaging. Identification of Chilaiditi syndrome is clinically significant as it can lead to many significant complications such as volvulus, perforation, and bowel obstruction. If the patient is symptomatic, treatment is usually conservative. Surgery is rarely indicated with indications including ischemia and failure of resolution with conservative management.

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Figures

Figure 1
Figure 1
(a) Coronal CT view. (b) Axial CT view. Both demonstrate a loop of colon interpositioned between the liver and right hemidiaphragm.
See this image and copyright information in PMC

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