Chilaiditi’s syndrome is an infrequent condition with radiological evidence of symptomatic colonic interposition between the liver and diaphragm. We report on a 9-year-old girl suffering from this rare syndrome and on the predisposing factors of diaphragmatic eventration and constipation which would also appear to be rare and may never have been reported previously for children. A 9-year-old girl was admitted to our hospital complaining of a 4-day history of epigastric pain, constipation, and nausea without preceding trauma. The patient was haemodynamically stable and had a low-grade fever. Upon examination, slightly decreased breath sounds were noted at the right lung base, compared with the left. Tympany and hyperactive bowel sounds were present in the right abdomen, which was diffusely tender off and on without rebound. There was no hyperleukocytosis and there were no other abnormalities apparent upon clinical examination. On an X-ray film, the colon was found between the right liver surface and the diaphragm (Fig. 1A,B). The patient passed a lot of gas and hard dry stools with the help of an enema; however, the symptoms did not resolve until after nasogastric decompression and parenteral electrolyte solution administration over the subsequent 5 days. The incidence of Chilaiditi’s syndrome in the general population ranges from 0.025% to 0.28% and seems to increase with age [5]. The sex ratio is 4:1, male to female [2]. The syndrome is usually of little clinical significance, but nausea, vomiting, anorexia, constipation, right upper quadrant pain, and epigastric pain have been described [2,5]. Aetiologically, Chilaiditi’s syndrome has been attributed to either intestinal factors, diaphragmatic factors, hepatic factors, an enlarged lower thoracic outlet or elevated intra-abdominal pressure [2, 4,5]. In this patient, constipation is likely a significant contributor to colonic mobility, given its reported association with colonic elongation. Furthermore, diaphragmatic eventration provides a larger potential suprahepatic space which could lead to colonic interposition [4]. The ascent of the distended colon is such that it can protrude into the subphrenic space with frequently consequent infero-medial displacement of the liver [6]. Our patient, however, presented with an upward and medial displacement of the liver, associated with diaphragmatic eventration.