Unusual association between renal tubular acidosis and Chilaiditi syndrome: a case report.

In 1911 Demetrius Chilaiditi described the radiographic findings of hepatodiaphragmatic interposition of the colon in 3 cases, a syndrome which now bears his name [1]. The incidence of this anomaly in the general population ranges from 0.025% to 0.28% [2–4]. Typically this is an incidental radiographic finding, often asymptomatic; however, abdominal pain, distension, vomiting, anorexia, constipation have been reported in the clinical presentation of this rare syndrome [5,6]. Volvulus of the colon, post-necrotic cirrhosis, obesity, congenital hemihypertrophy, mental retardation, pulmonary lobectomy and upper endoscopy are reported to be associated with Chilaiditi syndrome [5–11]. We report the first case of Chilaiditi syndrome caused by adynamic ileus resulting from hypokalaemia induced by renal tubular acidosis.