Pediatric Chilaiditi Syndrome: A Case Report

• Ahmed Ben Ayed

  Hopital Universitaire Habib Bourguiba

• Hèla Ben Jmaà

  department of cardiovascular and thoracic surgery

• Mohamed Rebei

• Rim KKarray

• Malek Abbes

• Ayman Ben Ayed

• Zied Chaari

• Abdessalem Hentati

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.

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