Chilaiditi sign means that a permanent or temporary interposition of the colon, small intestine or stomach is visible on the X-ray at the level of hepatodiaphragmatic space. This finding is rare, with a radiological incidence of 0.025 to 0.028% of the population. The Chilaiditi syndrome occurs with the onset of digestive symptoms such as abdominal pain or acute bowel obstruction. These two findings are benign and do not require surgical treatment.

We report the case of a 6-year-old girl who was recounting abdominal slight pain of 2 months of evolution, in which the X-ray picture of thorax allowed us to do the diagnosis of Chilaiditi's syndrome.