Hepatodiaphragmatic interposition of colon or Chilaiditi syndrome.
Hepatodiaphragmatic interposition of the intestine (usually hepatic flexure of the colon) or Chilaiditi sign or pseudopneumoperitoneum is usually an incidental finding, which can cause confusion with other surgical emergencies.
Hepatodiaphragmatic interposition of the intestine was first described by Beclere in 1899.
Fifteen minutes before the end of the surgery, the respective drug mixture was administered by anesthetist who was unaware of the composition of the mixture into the hepatodiaphragmatic
space, near and above the hepato-duodenal ligament and above the gall bladder bed under direct vision via a 23G Quinke spinal needle, placing the patient in 20 Trendelenburg position.
Chilaiditi's syndrome is caused by hepatodiaphragmatic interposition of colon and is usually asymptomatic.
Besides these findings, CT showed the hepatodiaphragmatic interposition of transvers colon (Fig.
5] The radiological finding of hepatodiaphragmatic interposition of bowel segment, also known as Chilaiditi's sign, defines asymptomatic anatomical abnormality.
This syndrome was described by Demetrius Chiliaditi who was a Viennese radiologist in 1910 for the first time as hepatodiaphragmatic "interposition" of the colon or small intestines (1).
Hepatodiaphragmatic interposition may cause acute, chronic or recurring complaints including respiratory distress and chest pain related to the respiratory system and abdominal pain, vomiting, abdominal distension, decrease in appetite related to the digestive system.