Chilaiditi syndrome is a very rare disorder characterized by abdominal pain due
to the entrapment of the colon between the liver and the diaphragm. However, it
is rare to have bowel perforation as a complication of this syndrome with only 2
cases reported to date. In this article, we present the case of a 56-year-old
woman with medical history of scleroderma who presents with abdominal pain and
was found to have colonic perforation from Chilaiditi syndrome. She was also
incidentally found to have cecal adenocarcinoma. Sometimes abdominal pain in
patients with Chilaiditi syndrome may be more than benign and calls for
increased attention from clinicians regarding this.