Acute colonic pseudo‐obstruction (Ogilvie syndrome) with Chilaiditi syndrome

Mathur, Shobhit; Lakhani, Om J; Hathila, Virsing P; Duttaroy, Dipesh D; Vohra, Anis; Chauhan, Himesh R.

doi:10.5694/j.1326-5377.2008.tb01895.x

Cited by 4 publications

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“…Cases of Chilaiditi syndrome and colonic volvulus, obstruction, perforation, or megacolon have been reported, as well as complications from subdiaphragmatic perforated appendicitis . This syndrome is also associated with intestinal pseudo‐obstruction (Ogilvie syndrome) .…”

Section: Discussionmentioning

confidence: 99%

Death Caused by Hepatodiaphragmatic Interposition of the Colon

Fomin

Baranauskaitė

Laima

et al. 2016

Journal of Forensic Sciences

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Hepatodiaphragmatic interposition of the colon is a rare, usually asymptomatic, anomaly and is typically an incidental radiologic finding. There are few cases in the literature describing the symptomatic form of the condition, known as Chilaiditi syndrome. In some cases, it may be accompanied by various severe complications. If symptoms are present, usually conservative treatment is given. However, conservative treatment only addresses the symptoms but does not prevent their recurrence and possible complications. Our present report shows that this anomaly may not only cause symptoms, but may also progress and cause severe complications, in our case-megacolon leading to right heart failure and, ultimately, death. To date, however, there have been no literature reports of death caused by colonic interposition. 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.

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Section: Discussionmentioning

confidence: 99%

Death Caused by Hepatodiaphragmatic Interposition of the Colon

Fomin

Baranauskaitė

Laima

et al. 2016

Journal of Forensic Sciences

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Chilaiditi-Syndrom mit subdiaphragmal perforierter Appendizitis

Lenz¹,

Kindler²,

Schilling³

et al. 2011

Chirurg

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We report on a case of an 80-year-old female patient who presented to the emergency room of with right upper quadrant abdominal pain since the day before. During the initial diagnostic an abdominal x-ray study revealed an air-filled colonic section of the bowel under the right hemidiaphragm corresponding to Chilaiditi's sign. The clinical symptoms and laboratory results were mild at this time. After 12 h the patient developed right upper quadrant peritonitis due to a perforated, subdiaphragmatic appendicitis based on Chilaiditi's syndrome. During surgical treatment the cecum and parts of the ascending colon were found to be interposed between the liver and right hemidiaphragm. A right hemicolectomy was performed which led to complete recovery of the patient. In addition to presenting this interesting case this article highlights the regime of the diagnostics and therapy of a complication of the very rare condition of Chilaiditi's syndrome.

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Ogilvie Syndrome and Chilaiditi Syndrome: a Strange Association

et al. 2013

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Chilaiditi syndrome is a strange disease which includes the existence of Chilaiditi sign and other abdominal symptoms. Chilaiditi sign refers the interposition of the colon between the liver and diaphragm that could be misinterpreted to be a pneumoperitoneum. We present a 46-year-old male patient who was admitted in the hospital with constipation and abdominal oppressive pain located in the epigastric area. He showed signs of peritoneal irritation, no bowel sounds, hernias, or organ enlargements. Laboratory analysis only revealed CPK elevation (462 U/L). Abdominal and chest radiographs showed an image which suggested a pneumoperitoneum. The patient underwent emergency surgical treatment, under diagnosis of viscera perforation. At laparotomy, an interposition of the transverse colon between the liver and diaphragm were visualized, although no perforations were present. Psychiatric treatment was held until this moment due to the high risk of schizophrenia outbreak. During the next 48 h, intestinal transit was restored and he was discharged on postoperative day 40, diagnosed with Ogilvie syndrome secondary to psychotropics. The relationship between Ogilvie syndrome and psychiatric treatments is known, but the association between Ogilvie and Chilaiditi syndrome is very strange. Nevertheless, it could be misinterpreted like a pneumoperitoneum and led to the performance of emergency surgery.

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Acute colonic pseudo‐obstruction (Ogilvie syndrome) with Chilaiditi syndrome

Cited by 4 publications

References 0 publications

Death Caused by Hepatodiaphragmatic Interposition of the Colon

Death Caused by Hepatodiaphragmatic Interposition of the Colon

Chilaiditi-Syndrom mit subdiaphragmal perforierter Appendizitis

Ogilvie Syndrome and Chilaiditi Syndrome: a Strange Association

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