Chilaiditi’s sign or syndrome? Diagnostic question in two patients with concurrent cardiovascular diseases

Hountis, Panagiotis; Chounti, Maria

doi:10.4081/monaldi.2017.775

Cited by 4 publications

(2 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The etiology of Chilaiditi syndrome remains controversial[4] and multiple factors have been documented to contribute[5]. Congenital disorders that can lead to Chilaiditi syndrome include small or ptotic liver, deficient falciform ligament, deficient suspensory ligament and congenital malposition or malrotation of the colon, and redundant colon.…”

Section: Discussionmentioning

confidence: 99%

Intermittent abdominal pain accompanied by defecation difficulties caused by Chilaiditi syndrome: A case report

Luo

Wang

et al. 2018

WJCC

View full text Add to dashboard Cite

We report a case of intermittent lower abdominal pain and distension accompanied by defecation difficulties for 3 years due to Chilaiditi syndrome in a 59-year-old male. Before admission to our hospital, the patient had undergone gastroscopy, which showed gastritis and duodenitis, and colonoscopy, which showed cecum deformation and cicatricial changes of the mucous membrane in the colon hepatic flexure. A computed tomography (CT) scan of the abdomen at our hospital confirmed right hepatic atrophy and interposition of the colon. Moreover, CT simulation endoscopy identified cystic dilatation in the colon hepatic flexure with the widest diameter of 8.2 cm. The patient was diagnosed with Chilaiditi syndrome. As the patient was unable to endure his defecation difficulties, he underwent a laparoscope-assisted right hemicolectomy. The patient had a good recovery. During the follow-up period of 9 mo, the patient remained symptom-free.

show abstract

Section: Discussionmentioning

confidence: 99%

Intermittent abdominal pain accompanied by defecation difficulties caused by Chilaiditi syndrome: A case report

Luo

Wang

et al. 2018

WJCC

View full text Add to dashboard Cite

show abstract

“…2 When it is associated with symptoms of entrapment, it is called Chilaiditi syndrome. 3 Symptoms include abdominal pain, distension, bloating, nausea, vomiting, flatulence, change in bowel habits, and rarely substernal pain, shortness of breath, or arrhythmias. 2 Very rarely is it associated with bowel perforation, and there are only 2 cases reported to date.…”

Section: Introductionmentioning

confidence: 99%

Chilaiditi Syndrome Complicated by Cecal Perforation in the Setting of Scleroderma

Sunkara

Rawla

Yarlagadda

et al. 2018

Journal of Investigative Medicine High Impact Case Reports

View full text Add to dashboard Cite

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.

show abstract

A rare cause of sudden chest pain and dyspnea

Xu¹,

Wang²,

Meng³

et al. 2020

Medicine

View full text Add to dashboard Cite

Rationale: 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. Patient concerns: 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. Diagnoses: Considering the presence of atelectasis in the middle and lower lobes of the right lung, bedside fiberoptic bronchoscopy was performed immediately to rule out bronchial phlegm embolism. However, no phlegm embolism was found in the left lung, and a small amount of yellow–white mucus was seen in the upper lobe of the right lung. Due to external pressure, the lumen of the middle and lower lobes of the right lung was obviously narrowed. Interventions: The patient was placed in a semi-sitting position and a tube was passed through the anus to decompress the intestinal cavity; in addition, she received potassium supplementation. Outcomes: The patient's symptoms improved markedly. Chest and semi-supine abdominal plain radiographs showed enhanced lung markings, shadows in the left lower lung lobes, elevation of the right diaphragm, and small amount of pneumoperitoneum. The patient recovered after 5 days of continuous treatment and was discharged. Lessons: Emergency computed tomographic pulmonary angiography may facilitate the diagnosis of Chilaiditi syndrome, especially in the postoperative setting. Occurrence of Chilaiditi syndrome in this patient was likely associated with surgical factors. Appropriate investigations and clear identification of etiology are essential for successful treatment.

show abstract

Chilaiditi’s sign or syndrome? Diagnostic question in two patients with concurrent cardiovascular diseases

Cited by 4 publications

References 3 publications

Intermittent abdominal pain accompanied by defecation difficulties caused by Chilaiditi syndrome: A case report

Intermittent abdominal pain accompanied by defecation difficulties caused by Chilaiditi syndrome: A case report

Chilaiditi Syndrome Complicated by Cecal Perforation in the Setting of Scleroderma

A rare cause of sudden chest pain and dyspnea

Contact Info

Product

Resources

About