Tunisian Journal of Emergency Medicine

Pediatric Chilaiditi Syndrome: A Case Report

Authors
Keywords:
Chilaiditi syndrome; Conservative treatment; Pseudo-occlusive syndrome; Differential diagnosis
Abstract

Chilaiditi syndrome, rare in children, corresponds to the interposition of the colon between the liver and the diaphragm.

We report the case of a 14-year-old teenager, followed for intellectual disability, admitted to the emergency room for respiratory discomfort and vomiting without occlusive syndrome. The chest X-ray showed the right colonic angle in the chest, suggesting a strangulated diaphragmatic hernia. The thoraco-abdominal CT scan corrected th diagnosis by objectyfying  Chilaiditi syndrome. The course was favorable under conservative treatment (left lateral decubitus). 

This case highlights the importance of discussing this diagnosis to avoid unnecessary exploratory surgery.

 

References

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Published
30-06-2026
Section
Case Reports
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How to Cite

Pediatric Chilaiditi Syndrome: A Case Report. (2026). Tunisian Journal of Emergency Medicine, 4(2). https://doi.org/10.66759/0772ny54