The Chilaiditi Syndrome : Another Greek Tragedy ? Case report and short review of literature.

The Chilaiditi syndrome is a rare disorder, characterized by a broad spectrum of (gastro-intestinal) symptoms due to an interposition of a segment of bowel between the liver and the diaphragm. This anatomical variation is diagnosed through abdominal x-ray and is known as the Chilaiditi sign. Since the syndrome can lead to severe complications, such as perforation, intestinal obstruction or bowel ischemia, awareness of this syndrome is essential for every general surgeon. Knowledge of predisposing factors is necessary to treat possible complications accordingly. Conservative -management often is sufficient. Surgical intervention is reserved for those who do not respond to conservative line of management or those with severe complications.