E-ISSN 2149-9934
Chilaiditi Syndrome: A Rare Cause of Shortness of Breath and Abdominal Pain
1 Department of Emergency Medicine, İnonu University School of Medicine, Malatya, Turkey  
JEMCR 2018; 9: 16-18
DOI: 10.5152/jemcr.2018.1971
Key Words: Chilaiditi syndrome, abdominal pain, shortness of breath

Introduction: Chilaiditi syndrome is a rare condition in which a segment of the small or large intestine is interposed in between the diaphragm and the liver. This case report presents a patient who was admitted to the Department of Emergency Medicine, Turgut Ozal Medical Center with complaints of respiratory distress and abdominal pain and then diagnosed with Chilaiditi syndrome.


Case Report: An 81-year-old female patient was admitted to the emergency department with complaints of difficulty in breathing and abdominal pain. The patient’s anamnesis indicated that difficulty of breathing increased when she had abdominal pain. There was no defense or rebound, but sensitivity was observed on abdominal examination. Other system examinations were normal. Abdominal ultrasonography performed on the patient was also normal. A dynamic thorax-abdominal tomography was obtained in terms of differential diagnosis of the patient who had abdominal pain. In the dynamic thorax-abdominal tomography of the patient, loops of the colon were visualized in the vicinity of the liver anterior segment, and these images indicated with Chiliaditi syndrome.


Conclusion: As a result, when the causes of shortness of breath and abdominal pain are investigated, Chiliaditi syndrome should be considered as a differential diagnosis.



Cite this article as: Ekmekyapar M, Turtay MG, Yücel N, Oğuztürk H, Gürbüz Ş, Derya S. Chilaiditi Syndrome: A Rare Cause of Shortness of Breath and Abdominal Pain. J Emerg Med Case Rep 2018; 9: 16-8.

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