Chilaiditi's syndrome and obesity

Murphy, Joseph; Maibaum, A; Alexander, Graeme; Dixon, Adrian K.

doi:10.1002/(sici)1098-2353(2000)13:3<181::aid-ca4>3.0.co;2-7

Cited by 33 publications

(21 citation statements)

References 6 publications

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“…These factors may be present in 6% of patients at birth. On the other hand, in adults other factors including cirrhosis [6], chronic constipation, increased abdominal pressure (pregnancy), obesity [7], enlargement of the lower rib cage due to chronic obstructive pneumonitis with a large space in which the interposition of the colon may occur [1] are also believed to be contributory factors.…”

Section: Discussionmentioning

confidence: 99%

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Chilaiditi Syndrome

Ovungu¹,

Ossibi²,

Mvumbi³

et al. 2017

OJRad

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The interposition of the colon or the small intestine between the liver and the diaphragm otherwise called Chilaiditi syndrome remains a rare condition. Its incidence varies between 0.025% and 0.28% according to recent literature and is only found incidentally on diagnostic imaging. Hence, it constitutes a classic pitfall in the diagnosis of false right pneumoperitoneum. We deem interesting to report a case of Chilaiditi syndrome in a 44-year-old patient with no significant history who was admitted at emergency department for abdominal trauma following a road accident.

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Section: Discussionmentioning

confidence: 99%

“…From a pathology standpoint, colonic segments involved in the interposition Open Journal of Radiology between the liver and the diaphragm or the abdominal wall are mostly the transverse colon, followed by the right colic flexure even though cases involving small intestine interposition have also been reported [7].…”

Section: Discussionmentioning

confidence: 99%

Chilaiditi Syndrome

Ovungu¹,

Ossibi²,

Mvumbi³

et al. 2017

OJRad

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“…Chilaiditi syndrome cases reported in literature are associated with a lot of accompanying diseases and situations which some could be explained logically others are not. In these reports which are mostly formatted as case reports volvulus of caecum, transverse colon and sigmoid colon, suprahepatic appendicitis, paralytic ileus, abdominal trauma, liver cystectomy, scleroderma, pneumatosis cytoides intestinalis, duplication of intestine, congenital hypothroidy, chronic constipation, melanozis coli, salmonellozis, obesity, primary lung cancer, hypertension, schizophrenia and other similar accompanying situations were reported (7)(8)(9)(10)(11)(12)(13)(14)(15).…”

Section: Discussionmentioning

confidence: 99%

Chilaiditi Syndrome

Okuş

Çarpraz

2013

ELECTRON J GEN MED

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“…3 Hepatodiaphragmatic interposition can be diagnosed from plain chest roentgenograms, abdominal ultrasound, and CT findings. [3][4][5][6][7] Occasionally, the symptoms progress from mild abdominal discomfort to mechanical bowel obstruction, necessitating surgical treatment. 3 Orangio 4,[7][8][9] The details of these previous case reports are summarized in Table 1.…”

Section: Discussionmentioning

confidence: 99%

“…The hepatic factors include a small liver caused by cirrhosis and relaxation of the suspensory ligaments. 3,6,7 These intestinal, diaphragmatic, and hepatic factors predispose to Chilaiditi's syndrome, which is known to be a risk factor for colonic volvulus. In all of the five previous cases, an elongated and hypermobile colon with a long mesentery was the most important predisposing factor for Chilaiditi's syndrome and colonic volvulus; segmental agenesis of the liver is also a rare predisposing factor.…”

Section: Discussionmentioning

confidence: 99%

Colonic Volvulus Associated with Chilaiditi?s Syndrome: Report of a Case

et al. 2004

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Hepatodiaphragmatic interposition of the intestine, known as Chilaiditi's syndrome, is a rare and often asymptomatic anomaly, typically found as an incidental radiographic sign. We report a case of Chilaiditi's syndrome associated with transverse colon volvulus, predisposed by segmental agenesis of the right lobe of the liver. A 45-year-old man presented with a 2-day history of abdominal pain, nausea, vomiting, and constipation. Plain chest X-ray and abdominal computed tomography showed colonic interposition and segmental agenesis of the right lobe of the liver. Laparotomy revealed a clockwise volvulus of the transverse colon associated with interposition and incarceration of the colon through the space of the agenetic segment of the liver. The transverse colon, which was adherent to the agenetic space in the liver and diaphragm, was dissected away and repositioned, and the volvulus was reduced. To our knowledge, this is only the sixth reported case of a colonic volvulus associated with Chilaiditi's syndrome and the first case associated with segmental agenesis of the right lobe of the liver.

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Chilaiditi's syndrome and obesity

Cited by 33 publications

References 6 publications

Chilaiditi Syndrome

Chilaiditi Syndrome

Chilaiditi Syndrome

Colonic Volvulus Associated with Chilaiditi?s Syndrome: Report of a Case

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