Chilaiditi syndrome is the anterior interposition of the colon to the liver reaching the under-surface of the right hemidiaphragm with associated upper abdominal. Chilaiditi syndrome is a rare condition when pain occurs due to transposition of a loop of large intestine (usually transverse colon) in between the diaphragm. Chilaiditi syndrome is the interposition of the colon between the liver and the right hemidiaphragm. The incidence of this syndrome ranges from % to %.
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This sign was first described in the medical literature in by the Greek radiologist Demetrius Chilaiditi [ 2 ]. Initial management of Chilaiditi syndrome should include bed rest, intravenous fluid therapy, bowel decompression, enemas, and laxatives.
Case Reports in Surgery
In his initial presentation, the patient was afebrile, with stable vital signs. Table of Contents Alerts.
From Wikipedia, the free encyclopedia. Posteroanterior chest radiography revealed the presence of air below the right side of the diaphragm Figure 1a. View at Google Scholar A. Diagnosis of Chilaiditi syndrome is extremely important because this rare syndrome can lead to not only unnecessary but also hazardous surgery if not diagnosed.
Decreased bowel sound was also present.
Acute Abdominal Pain Secondary to Chilaiditi Syndrome
I acknowledge the assistance offered by our hospital Radiologist Dr. Viscerohepatodiaphragmatic interposition Chilaiditi’s syndrome in a child.
Case 15 Case Ligaments are tough, fibrous bands of tissue that primarily serve to connect or support structures within the body. Case 7 Case 7. Peritoneum Blumberg sign Rigler’s sign Cupola sign. However, as mentioned above, these sindromee disorders can also occur within the interposed colon in rare instances.
Recognition of Chilaiditi syndrome is important because this rare entity can be misleading to the surgeons and mistaken for more serious abnormalities, which may lead to unnecessary surgical interventions.
The patient was managed conservatively with IV fluid hydration and pain management.
Chilaiditi’s syndrome masquerading as chest pain Goel A, Dewanda NK – J Sci Soc
Normally this causes no symptoms, and this is called Chilaiditi’s sign. Citing articles via Web of Science 1. Combined physical examinations and detailed imaging survey could be useful in making the correct diagnosis and avoiding unnecessary operation.
Zindrome differential diagnoses of Chilaiditi syndrome can also include bowel obstruction, volvulus, intussusception, ischemic bowel, or infammatory conditions eg, appendicitis or diverticulitis. Some affected individuals may not require any therapy.
The removal of pressure from the intestines bowl decompression has alleviated symptoms in some cases. Absence or laxity of the ligament suspending the transverse colon or of the falciform ligament are also thought to contribute to the condition. Case 14 Case The patient was managed conservatively, nothing per month for 6 hours with analgesics and bed rest.
Symptom-producing interposition of the colon. Edit article Share article View revision history. When evaluating a symptomatic patient with small bowel obstruction, clinicians should first rule out the more serious condition of pneumoperitoneum.
Normally this causes no symptoms, and this is called Chilaiditi’ssign [ 1 ]. Therefore, it is important to draw attention to the importance of this anomaly and its appropriate diagnosis and treatment to ensure the most favorable patient outcomes [ 15 ]. Prevalence and sonographic detection of Chilaiditi’s sign in cirrhotic patients without ascites. The specific symptoms and presentation of Chilaiditi’s syndrome can vary greatly from one person to another.
Complete blood count was within normal range. EssamKhater for their help during management of this case. Case 10 Case Both demonstrate a loop of colon interpositioned between the liver and right hemidiaphragm. Email alerts New issue alert. Administration of carbon dioxide as the insufflating agent for colonoscopy is appropriate for decreasing this risk.
Subscribe to Table of Contents Alerts. With normal human anatomy, the suspensory ligaments of the liver, mesocolon, liver, and the falciform ligament are situated in a manner that minimizes space surrounding the liver and prevents interposition of the colon. This anatomical variant is sometimes mistaken for the more serious condition of having air under the diaphragm pneumoperitoneum which is usually an indication of bowel perforationpossibly leading to surgical interventions.
Chilaiditiss we are strong. Support Radiopaedia and see fewer ads. An elderly man with chest pain, shortness of breath, chilaidiyis constipation. Laparoscopy was used in management some cases of Chilaiditi syndrome causing small bowel sinsrome [ 14 ]. Abdominal ultrasound was unremarkable. A rare entity with important differential diagnoses. It is important to identify Chilaiditi sign in order to prevent complications from occurring during a percutaneous transhepatic procedure or liver biopsy, particularly in cirrhotic patients, who are predisposed to development of Chilaiditi sign.
Chilaiditi syndrome is a rare condition when pain occurs due to transposition of a loop of large intestine usually transverse colon in between the diaphragm and the liver, visible on plain abdominal X-ray or chest X-ray. Unable to process the form.
Chilaiditi sign or syndrome. Chilaiditi’s syndrome with associated angina. Chilaiditi is a rarely considered differential diagnosis with vague symptoms that make diagnosis difficult.
Diagnosis is best achieved with CT imaging. If the patient is symptomatic, treatment is usually conservative.