Chilaiditi syndrome is a rare condition when pain occurs due to transposition of a loop of large intestine in between the diaphragm and the liver, visible on plain abdominal X-ray or chest X-ray. Such case can be without any symptoms or can be presented with abdominal pain, vomiting, anorexia, constipation, flatulence or air swallowing. Patient has feeling of pressure in upper abdomen when upright.
The occurrence (incidence) of it on abdominal or chest X-rays is around 0.1% but it can be up to 1% in series of older adults. It has also been reported in children. During our clinical practice we encounter a interesting case of Chilaiditi syndrome. Here we are presenting a case of 18 yr old male patient who developed chilaiditi syndrome with mild symptoms and signs of sub acute intestinal obstruction.
Free gas under diaphragm, chilaiditi syndrome, bowel perforation.