Chilaiditi Syndrome: A Rare Presentation with Internal Herniation of Small Bowel

Abstract

A long loop of small bowel had herniated between the diaphragm and the right lobe of liver in a 72-year-old lady presenting with acute abdomen and features of intestinal obstruction. The unresponsiveness to non-operative management warranted an exploration. A fibrous band between the small bowel mesentery and the lateral abdominal wall was found which had led to the rotation and internal herniation of small bowel. A review of literature over the past 30 years describes two cases of small bowel leading to the Chilaiditi syndrome. However, we present a unique case where a thick band between the small bowel mesentery and the lateral abdominal wall led to internal herniation and hepato-diaphragmatic interposition of small bowel.