Abstract: Chilaiditi syndrome is a rare clinical syndrome with complex clinical manifestations and higher misdiagnosis rate. Here we present how we diagnosed and treated a 79-year-old male case on peritoneal dialysis with Chilaiditi syndrome. He had upper abdominal pain for 12 years. He then developed dyspnea after 4 months of peritoneal dialysis. His abdominal CT and MRI showed the image of colon in front of liver. Chilaiditi syndrome was confirmed. The abdominal distension and abdominal pain were alleviated by integrated traditional Chinese medicine with western medicine. We reviewed the literature and introduced the update of diagnosis and treatment about this syndrome.

Key words: Chilaiditi syndrome, Metastatic colon, Abdominal pain, Peritoneal dialysis