Abstract

Dr. M. Anusha*, P. Navya, R. Bhargav

ABSTRACT

Chilaiditi syndrome is a rare condition characterized by the interposition of the large bowel between the liver and the right hemidiaphragm, visible on radiological imaging. It may present with nonspecific gastrointestinal and respiratory symptoms and is often mistaken for pneumoperitoneum, leading to unnecessary surgical intervention if not correctly identified. We report a case of 67-year-old male presented to the emergency department with complaints of abdominal pain persisting for one month, along with shortness of breath and decreased appetite. The patient had a previous diagnosis of Chilaiditi syndrome in 2022. Radiological evaluation revealed recurrence of colonic interposition between the liver and the right hemidiaphragm, consistent with Chilaiditi syndrome. The patient was managed conservatively with symptomatic improvement.