Chilaiditi syndrome
Hicham Naji-Amrani, Aziz Ouarssani
The Pan African Medical Journal. ;26:129. doi:10.11604/pamj..26.129.11557

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Chilaiditi syndrome

Hicham Naji-Amrani, Aziz Ouarssani
Pan Afr Med J. 2017; 26:129. doi:10.11604/pamj.2017.26.129.11557. Published 07 Mar 2017

Chilaiditi syndrome or subphrenic interposition of the colon, is a rare condition with an incidence of 0.025% - 0.28% in radiographs and mostly diagnosed as an incidental finding. We report the case of a 67-years-old male, heavy smoker, with history of intermittent abdominal pain, who reported cough and muco-purulent sputum without fever or dyspnea. Physical examination showed bilateral bronchial rales and right hypochondrium sensitivity, his vital signs were normal. A posteroanterior chest films (A) reveled an elevated right hemidiaphragm with free gas below. A pneumoperitoneum, subphrenic abscess, and intestinal pneumatosis were suspected, however, a CT scan of the thorax and abdomen (B, C and D) showed the interposition of the right colon angle between the diaphragm and the liver without any perforated viscus. Our patient was treated for chronic bronchitis infection; otherwise his Chilaiditi syndrome required symotomatic treatment with good outcomes.

Corresponding author:
Hicham Naji-amrani, Department of Pneumology, Moulay Ismail Military Hospital, Meknes, Morocco

©Hicham Naji-Amrani et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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