"Chilaiditi syndrome"

A rare cause of sudden chest pain and dyspnea: A CARE-compliant case report of Chilaiditi syndrome. Chilaiditi syndrome is a rare disorder characterized by a broad spectrum of (gastro-intestinal) symptoms caused by interposition of a segment of bowel between the liver and the diaphragm. Most cases present with abdominal symptoms and the morbidity tend to increase with age. Here we present a rare case of Chilaiditi syndrome. An elderly postmenopausal woman developed unresolved postoperative respiratory symptoms and chest pain. Chest auscultation revealed considerable attenuation of respiratory sounds. She showed postoperative increase in D-dimer level and sudden onset of dyspnea. Considering the presence of atelectasis in the middle and lower lobes of the right lung, bedside fiberoptic

Chilaiditi syndrome

Chilaiditi Syndrome: A Case Report Highlighting the Intermittent Nature of the Disease Chilaiditi syndrome is a phenomenon where there is an interposition of the colon between the liver and the abdominal wall leading to clinical symptoms. This is distinct from Chilaiditi sign for which there is radiographic evidence of the interposition, but is asymptomatic. Here, we present the case of a patient who, despite having clinical symptoms for a decade, had a delayed diagnosis presumably due to the interposition being intermittent and episodic. This case highlights the fact that Chilaiditi syndrome may be intermittent and episodic in nature. This raises an interesting question of whether previous case reports, which describe complete resolution of the syndrome after nonsurgical intervention

Chilaiditi syndrome – a rare case of pneumoperitoneum in the emergency department: a case report Pneumoperitoneum poses an important diagnostic sign determining the urgency of management of patients in an emergency department. Chilaiditi sign is a rare radiologic finding of large intestines transposition between the diaphragm and the liver. If the patient becomes symptomatic , then the condition is called Chilaiditi syndrome. We present a rare case of a 49-year-old Egyptian man who presented to our emergency department complaining of cough and vague abdominal discomfort who was found to have Chilaiditi syndrome diagnosed radiologically by computed tomography scan. He was conservatively managed rather than undergoing invasive non-warranted diagnostic and therapeutic testing that may have

Chilaiditi Syndrome Complicated by Cecal Perforation in the Setting of Scleroderma 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.

Surgical management of Chilaiditi syndrome with da Vinci® robotic system Chilaiditi's syndrome is a combination of radiographic finding of hepato-diaphragmatic interposition of intestine with gastrointestinal symptoms which sometimes requires operative intervention. This is, to our knowledge, the first report of robotic-assisted technique for surgical management of this rare condition. We report a case of 85-year-old woman with persistent pain and diarrhea from Chilaiditi's syndrome who underwent robotic-assisted colopexy with good outcome. Robotic-assisted surgery offers great visualization and high degree of instrument maneuverability, thus shortening operative time and provides patient with other benefits of minimally-invasive surgery such as minimal pain and excellent cosmesis

EUS-guided drainage of hepatic abscess in the right side of the liver of a patient with Chilaiditi syndrome

Chilaiditi syndrome

Chilaiditi Syndrome

Interstitial Lung Disease with Chilaiditi Syndrome Chilaiditi sign is the peculiar radiographic presentation of interposition of colon between diaphragm and liver. When associated with symptomatology, it is called as chilaiditi's syndrome. Though rare, respiratory symptoms may be present. In such cases, it becomes difficult to determine if the symptomatology is due to the syndrome only , or there is some underlying lung involvement, until this is specifically considered in the differential diagnosis. We present a male patient, where thorough investigations revealed Interstitial Lung Disease (ILD), along with Chilaiditi sign on chest radiograph. Respiratory symptomatology responded partially to the management of underlying ILD. It is left for discussion, whether the Chilaiditi syndrome was also

Chilaiditi Syndrome: DAMS Grand Rounds

Chilaiditi Syndrome Precipitated by Colonoscopy: A Case Report and Review of the Literature Chilaiditi syndrome is a rare condition defined by the presence of gastrointestinal symptoms associated with the radiological finding of segmental interposition of the bowel between the liver and the diaphragm. While it is infrequently indentified as a source of abdominal pain, Chilaiditi syndrome carries clinical significance as it can lead to a number of serious complications including intestinal obstruction, perforation, and ischemia. A 58-year-old woman presented with Chilaiditi syndrome immediately following colonoscopic evaluation. Conservative measures failed to alleviate the patient's symptoms, and the patient ultimately elected to have operative management. Pexy of the cecum and ascending colon

Chilaiditi syndrome in a patient with urological problems: Incidental diagnosis on computed tomography A rare syndrome, Chilaiditi's syndrome is interposition of the colon only or with the small intestine in hepatodiaphragmatic area. It may be asymptomatic, but it may also present with symptoms, such as abdominal pain, nausea, vomiting, constipation and respiratory distress. We present a patient who was admitted with urological problems; he was incidentally diagnosed with Chilaiditi's syndrome.

Chilaiditi Sign and Syndrome: A Rare Case Seen After Open-Heart Surgery. Chilaiditi sign is a rare radiologic finding usually diagnosed incidentally. If it presents with symptoms such as nausea, vomiting, abdominal discomfort, and abdominal pain, it is called Chilaiditi syndrome. Here, we present an 81-year-old male patient who demonstrated Chilaiditi syndrome and signs after open-heart surgery.

, enemas, and intravenous (IV) hydration. The patient improved clinically with resolution of colonic distension. Chilaiditi's sign and Chilaiditi syndrome are rare entities and therefore are often misdiagnosed and mismanaged. Awareness of the radiological sign, the syndrome itself, and the association with acute colonic pseudo-obstruction is important for all care providers so that they can opt for more

The liver and Chilaiditi’s syndrome: Significance of hepatic surface grooves Chilaiditi's syndrome describes a symptomatic patient with radiographic findings of interposed colon between the diaphragm and right lobe of liver. It may mimic a pneumoperitoneum on plain radiographs. We present a case in which Chilaiditis' syndrome was entertained, delaying a decision for laparotomy. This case reinforces the diagnostic difficulty associated with Chilaiditi's syndrome, and it increases awareness of an uncommon variation in the liver surface anatomy.

or a left lateral decubitus abdominal image. [26] Pneumoperitoneum is detectable in 56% of patients by using a supine abdominal image. In approximately one half of patients with a pneumoperitoneum, gas overlies the right upper quadrant.Mimics of a pneumoperitoneum include the following: * * Colonic interposition between the superior surface of the liver and the diaphragm (Chilaiditi syndrome) (see

the ascending colon; this may be found at laparotomy. [19] AnatomyOccasionally, diaphragmatic interposition of the right colon (Chilaiditi syndrome) occurs. This is related to redundancy of bowel rather than defective fixation. The right side of the colon may have a defective fixation and abnormal mobility; therefore, it may be located anywhere in the abdomen, including beneath the right hemidiaphragm

or A883F mutations. Chilaiditi sign is an incidental radiographic finding of a usually asymptomatic condition in which a part of intestine is located between the liver and diaphragm; however, the term "Chilaiditi syndrome" is used for symptomatic hepatodiaphragmatic interposition. The patient had no symptoms as abdominal pain, constipation, diarrhea, or emesis. Incidentally, Chilaiditi sign was diagnosed

to a perforated gastrointestinal tract had never been described in the past. Approximately 10% of pneumoperitoneum is not associated with hollow organ perforation. There are many imitators of pneumoperitoneum including subphrenic abscess, colon volvulus, Chilaiditi syndrome, and so on. In our case, the gas-forming bacterial peritonitis accounted for the pneumoperitoneum. We presented an 85-year-old man who