Intermittent abdominal pain accompanied by defecation difficulties caused by Chilaiditi syndrome: A case report

World J Clin Cases. 2018 Dec 6;6(15):1042-1046. doi: 10.12998/wjcc.v6.i15.1042.


We report a case of intermittent lower abdominal pain and distension accompanied by defecation difficulties for 3 years due to Chilaiditi syndrome in a 59-year-old male. Before admission to our hospital, the patient had undergone gastroscopy, which showed gastritis and duodenitis, and colonoscopy, which showed cecum deformation and cicatricial changes of the mucous membrane in the colon hepatic flexure. A computed tomography (CT) scan of the abdomen at our hospital confirmed right hepatic atrophy and interposition of the colon. Moreover, CT simulation endoscopy identified cystic dilatation in the colon hepatic flexure with the widest diameter of 8.2 cm. The patient was diagnosed with Chilaiditi syndrome. As the patient was unable to endure his defecation difficulties, he underwent a laparoscope-assisted right hemicolectomy. The patient had a good recovery. During the follow-up period of 9 mo, the patient remained symptom-free.

Keywords: Abdominal pain; Case report; Chilaiditi sign; Chilaiditi syndrome; Diagnosis; Laparoscope-assisted right hemicolectomy; Management.

Publication types

  • Case Reports