A case of small intestine type chilaiditi syndrome with strangulated ileus requiring intestinal resection

Abstract

Interposition of the intestine, into the right subphrenic space is known as Chilaiditi syndrome. We report a case of small intestine type Chilaiditi syndrome with strangulated ileus, which required intestinal resection. A 52-year-old woman was admitted to the hospital because of abdominal pain and vomiting. We diagnosed this case as small intestine type Chilaiditi syndrome with strangulated ileus from a CT scan and subsequently an emergency laparotomy was performed. During the operation, the part of the small intestine which was strangulated, was incarcerated into the right subphrenic space. The incarcerated small intestine was reduced, but intestinal resection was required. In Chilaiditi syndrome the large intestine is generally asymptomatic, so most cases are simply followed up. However, careful attention and further examination should be given to patients with small intestine type Chilaiditi syndrome, which is prone to cause ileus and requires an emergency laparotomy.