Acute Abdominal Pain Secondary to Chilaiditi Syndrome

Abstract

Chilaiditi syndrome is a rare condition occurring in 0.025% to 0.28% of the population. In these patients, the colon is displaced and caught between the liver and the right hemidiaphragm. Patients' symptoms can range from asymptomatic to acute intermittent bowel obstruction. Diagnosis is best achieved with CT imaging. Identification of Chilaiditi syndrome is clinically significant as it can lead to many significant complications such as volvulus, perforation, and bowel obstruction. If the patient is symptomatic, treatment is usually conservative. Surgery is rarely indicated with indications including ischemia and failure of resolution with conservative management.

Signo y síndrome de Chilaiditi: una condición pero con importancia diagnóstica en pediatría. Casos clínicos

“…La mayoría de los pacientes con el signo de Chilaiditi se encuentran asintomáticos 13 , como en el caso 1, pero en ocasiones, como el caso 2 pueden presentar náuseas, vómitos, dolor abdominal, estreñimiento, obstrucción intestinal intermitente, dolor abdominal crónico, y se han reportado casos tan graves como causa de abdomen agudo 14 . En caso de presentar alguno de estos síntomas, se utiliza el término Síndrome de Chilaiditi.…”

Chilaiditi Syndrome as A Cause of Respiratory Distress: A Case Report and Review of the Literature

“…To diagnose Chilaiditi sign based upon radiologic findings, the following criteria must be met; the right hemidiaphragm must be adequately displaced superiorly above the liver by the intestine, pseudoperitoneum caused by air in the bowels must be seen, and the superior margin of the liver must be positioned below the level of the left hemidiaphragm [23].…”

Chilaiditi Syndrome in Two Cases Presented with Respiratory Distress Symptoms

“…Chilaiditi syndrome is defined as hepatodiaphragmatic interposition of colon or small intestine [1]. Whilst the term "Chilaiditi sign" is recommended to be used to define asymptomatic cases, the term "Chilaiditi syndrome" is recommended to be used for symptomatic cases [1][2][3].…”

“…Whilst the term "Chilaiditi sign" is recommended to be used to define asymptomatic cases, the term "Chilaiditi syndrome" is recommended to be used for symptomatic cases [1][2][3]. Its incidence increases with age.…”

“…Male/female ratio is 4/1 [1]. Whilst it may be clinically asymptomatic, it also presents itself with gastrointestinal system symptoms such as abdominal pain, vomiting, constipation, loss of appetite, and abdominal distension and/or respiratory system symptoms such as respiratory distress and chest pain, and less frequently with cardiovascular system symptoms [1][2][3][4][5][6]. Herein, two cases with Chilaiditi syndrome presented with respiratory distress were reported.…”