Chilaiditi Syndrome Complicated by Cecal Perforation in the Setting of Scleroderma

Sunkara, Tagore; Rawla, Prashanth; Yarlagadda, Krishna Sowjanya; Baltazar, Gerard A.; Gaduputi, Vinaya

doi:10.1177/2324709618803387

Cited by 4 publications

(2 citation statements)

References 8 publications

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“…About 20%–50% of those patients will have some degree of colonic involvement 1. Life-threatening visceral perforations, including colonic perforations, have been described in the setting of scleroderma,5–11 although the exact incidence of these serious complications remains unknown with most evidence coming from single case reports or case series.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous bowel perforation in the setting of colonic involvement with scleroderma

et al. 2020

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Here we present a rare case of spontaneous colonic perforation in a middle-aged woman affected by systemic sclerosis (SSc). In spite of maximal medical support and prompt emergency laparotomy for source control the patient died due to multiorgan failure within 48 hours of admission. This case emphasises that although rarely, patients with scleroderma can present with colonic perforation which unfortunately due to their decreased physiological reserve, can lead to rapid and irreversible deterioration and subsequent death. It is therefore essential that clinicians faced with abdominal symptoms and signs in patients affected by SSc are able to quickly differentiate acute visceral perforation from benign causes.

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Section: Discussionmentioning

confidence: 99%

Spontaneous bowel perforation in the setting of colonic involvement with scleroderma

et al. 2020

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“…In rare cases, other intestinal diseases may also occur at the same time as Chilaiditi syndrome. There are several reports of intestinal perforation caused by Chilaiditi syndrome[1,16,17]. Under such complicated conditions, further CT scan imaging of the abdomen is recommended if necessary and will help clinicians make correct diagnoses[18].…”

Section: Discussionmentioning

confidence: 99%

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

Luo

Wang

et al. 2018

WJCC

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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.

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Hilaiditi syndrome as a cause of chronic duodenal obstruction in children operated on for omphalocele

Razumovskiy

Kulikova

Cholostova

et al. 2021

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Introduction. Chilaiditi syndrome—hepatodiaphragmatic interposition—is a rare condition in which bowel loops are compressed in the space between the liver and the dome of the diaphragm, which can lead to the development of a wide range of complications. In the available literature data on the clinical manifestations of this condition in children with omphalocele are not described.Materials and methods. The article describes rare clinical cases of patients 1 year 1 month, 2 years 11 month and 12 years old, previously operated on in the neonatal period for omphalocele, in whom, in the long term after surgery, signs of hepatodiaphragmatic interposition persisted, which led to the development of chronic duodenal obstruction.Conclusion: It has been proven that the leading role in restoring the normal topography of the abdominal organs in children with omphalocele is played by the complete mobilization of the liver and the great vessels (IVC) fi xing it, which provide the possibility of its subphrenic localization. Chronic duodenal obstruction in children with a similar pathology has not been previously described. The proposed original method of surgical treatment seems to be pathogenetically justifi ed.

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Chilaiditi Syndrome Complicated by Cecal Perforation in the Setting of Scleroderma

Cited by 4 publications

References 8 publications

Spontaneous bowel perforation in the setting of colonic involvement with scleroderma

Spontaneous bowel perforation in the setting of colonic involvement with scleroderma

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

Hilaiditi syndrome as a cause of chronic duodenal obstruction in children operated on for omphalocele

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