A five-year-old patient with a family history of constipation (mother and 12-year-old brother) and a personal history of constipation, presented with diffuse abdominal pain of ten days duration, anorexia and no stools in the last three days.
Physical malaise, good general condition; blood pressure 105/55 mmHg; heart rate 110 bpm.
Eye disorders
Cardiopulmonary arrest normal.
Abdomen blando, depressible, without masses or enlargements; without signs of peritoneal irritation, signs of Blumerbg, Murphy and negative stools, more severe right paw mass compatible with the iliac p.
Given the exploration of the patient, an abdominal X-ray is requested, in which there is evidence of colon interposition between liver and diaphragm.
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With the diagnosis of Chilaiditi's syndrome, conservative treatment with diet and laxatives is started, being evaluated at 24 and 48 hours; the patient eliminates gases and feces at 24 hours.
Since then, he remains asymptomatic.
A follow-up X-ray was performed seven days later, showing colonic interposition between the diaphragm and the liver.
