Chilaiditi Syndrome: A Rare Cause of Shortness of Breath and Abdominal Pain

Abstract

Introduction: Chilaiditi syndrome is a rare condition in which a segment of the small or large intestine is interposed in betweenthe 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 Chilaiditisyndrome.Case Report: An 81-year-old female patient was admitted to the emergency department with complaints of difficulty in breathingand 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 werenormal. Abdominal ultrasonography performed on the patient was also normal. A dynamic thorax-abdominal tomographywas obtained in terms of differential diagnosis of the patient who had abdominal pain. In the dynamic thorax-abdominaltomography of the patient, loops of the colon were visualized in the vicinity of the liver anterior segment, and these imagesindicated with Chiliaditi syndrome.Conclusion: As a result, when the causes of shortness of breath and abdominal pain are investigated, Chiliaditi syndromeshould be considered as a differential diagnosis.