• César Raúl Aguilar-García and Jesús García-Acosta.
• Servicio de Medicina Interna, Hospital General de Zona 197, Delegación Estado de México Oriente. Instituto Mexicano del Seguro Social, Texcoco, Estado de México, México. miymc2010@hotmail.com.
• Rev Med Inst Mex Seguro Soc. 2017 Jan 1; 55 (1): 114-117.

AbstractThe interposition of a portion of the colon between the liver and the diaphragm is called Chilaiditi sign and discovered incidentally during radiological study for other reasons and usually asymptomatic presentation. When the discovery is accompanied by clinical symptoms such as abdominal pain, nausea, vomiting, bloating, constipation called Chilaiditi Syndrome. The Chilaiditi sign is a very rare condition, and the Chilaiditi syndrome is even more, especially if associated with other acute diseases. We report the case of a man of 41 years was admitted with right upper quadrant abdominal pain, nausea, vomiting, difficulty was diagnosed with radiographic and tomographic images making the differential diagnosis with lung abscess and diaphragmatic hernia. The final diagnosis was Chilaiditi Syndrome associated with acute pancreatitis and penumonia.

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