Chilaiditi's Syndrome

By Medically reviewed by hellodoktor


What is Chilaiditi’s Syndrome?

Chilaiditi’s syndrome is a condition in which a portion of the colon is abnormally located (interposed) in between the liver and the diaphragm. The diaphragm is the muscle that separates the chest cavity from the abdomen.

How common is Chilaiditi’s Syndrome?

Chilaiditi’s syndrome is rare. It affects males and females in equal numbers. It is more common in older adults, but can occur at any age and has been reported in children. The incidence of Chilaiditi’s syndrome is unknown. Please discuss with your doctor for further information.


What are the symptoms of Chilaiditi’s Syndrome?

The common symptoms of Chilaiditi’s Syndrome are:

  • Chronic recurrent abdominal pain
  • Nausea,
  • Vomiting,
  • Constipation,
  • Indigestion,
  • Difficulty swallowing,
  • Abdominal tenderness, especially in the upper, central area
  • Breathing problems in some cases.

There may be some symptoms not listed above. If you have any concerns about a symptom, please consult your doctor.

When should I see my doctor?

If you have any signs or symptoms listed above or have any questions, please consult with your doctor. Everyone’s body acts differently. It is always best to discuss with your doctor what is best for your situation.


What causes Chilaiditi’s Syndrome?

The exact cause of Chilaiditi’s syndrome is unknown.

Risk factors

What increases my risk for Chilaiditi’s Syndrome?

There are many risk factors for Chilaiditi’s Syndrome, such as:

  • Chronic lung disease,
  • Scarring of the liver (cirrhosis),
  • The accumulation of fluid within the abdominal cavity (ascites)
  • Abnormal elongation of the colon,
  • Abnormal looseness (laxity) of certain ligaments of the colon and liver
  • Reduced liver volume,
  • Paralysis of the motor nerve of the diaphragm (phrenic nerve palsy)

Diagnosis & treatment

The information provided is not a substitute for any medical advice. ALWAYS consult with your doctor for more information.

How is Chilaiditi’s Syndrome diagnosed?

A diagnosis of Chilaiditi’s syndrome is made based upon imaging (radiographic) confirmation of the abnormal positioning of the colon and the occurrence of associated symptoms. Such imaging techniques may include chest and abdominal x- rays, ultrasounds, or computerized tomography (CT) scanning.

How is Chilaiditi’s Syndrome treated?

The treatment of Chilaiditi’s syndrome is directed toward the specific symptoms that are apparent in each individual. Some affected individuals may not require any therapy. The removal of pressure from the intestines (bowl decompression) has alleviated symptoms in some cases.

In some cases, surgical intervention may be required. Surgical techniques that have been used to treat individuals with Chilaiditi’s syndrome include the removal of a portion of the colon (transverse colectomy or right hemicolectomy) or the anchoring of a displaced liver to the abdominal wall (hepatopexy).

Lifestyle changes & home remedies

What are some lifestyle changes or home remedies that can help me manage Chilaiditi’s Syndrome?

If you have any questions, please consult with your doctor to better understand the best solution for you.

Hello Health Group does not provide medical advice, diagnosis or treatment.


Review Date: August 17, 2018 | Last Modified: September 13, 2019

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