Chilaiditi syndrome

Chilaiditi sign: the asymptomatic, usually incidental radiographic finding, in which a part of the intestine is located between the liver and the diaphragm. Hepatodiaphragmatic interposition of the intestine (HDI)

Chilaiditi syndrome: symptomatic hepatodiaphragmatic interposition associated with abdominal pain, nocturnal vomiting, anorexia, and abdominal distension.

Chilaiditi sign
Chilaiditi sign

History of Chilaiditi syndrome

1866Arnoldo Cantani (1837-1893) first described the interposition of the intestine between the liver and the diaphragm on clinical examination in his Caso di fegato ambulante. Referenced by Schmidt’s Jahrbücher in 1869 as Fall von wandernder Leber and later by Rogers in 1935.

1899 – Antoine Béclère (1856-1939) presented autopsy and radiological findings in a patient thought to have a subdiaphragmatic abscess

1910Dimítrios Chilaiditi (1883-1975) reported the anatomo-radiographic findings of 3 asymptomatic cases (2 male, one female) of subdiaphragmatic air on plain XR as a result of temporary hepatodiaphragmatic interposition of the colon.

Associated Persons

Alternative names
  • Hepatodiaphragmatic interposition of the intestine (HDI)



the names behind the name

Dr Adam Brown LITFL Author

MBChB (hons), BMedSci - University of Edinburgh. Living the good life in emergency medicine down under. Interested in medical imaging and physiology. Love hiking, cycling and the great outdoors.

BA MA (Oxon) MBChB (Edin) FACEM FFSEM. Emergency physician, Sir Charles Gairdner Hospital.  Passion for rugby; medical history; medical education; and asynchronous learning #FOAMed evangelist. Co-founder and CTO of Life in the Fast lane | Eponyms | Books | Twitter |

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