Chilaiditi syndrome mimicking congestive heart failure

Okiro, Julie Omolola

doi:10.1136/bcr-2017-220811

Cited by 4 publications

(3 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Actually, the chilaiditi syndrome was first described by Cantini in 1865, it was public after observation in the clinical examination in 1910 by Chilaiditi. Chilaiditi syndrome is a great mimicker with symptoms that imitate various medical and surgical emergencies [5]. Several theories have been proposed for chilaiditi syndrome, including the cause of anatomic distortions such as the laxity, absence, or elongation of the suspensory ligaments or the falciform ligament [6].…”

Section: Discussionmentioning

confidence: 99%

Two case series of Chiladiti syndrome and a review of literature

Aryanti¹,

Wiargitha²,

Atmadjaya³

2021

J Clin Images Med Case Rep

View full text Add to dashboard Cite

Introduction: Chilaiditi’s syndrome was repeatedly an unforgettable case in Emergency Department due to its various symptoms. Methods: This case report consisted two reported cases of Chilaiditi syndrome. Then, we followed the methods of PRISMA for systematic review. Results: In this report, two cases of Chilaiditi syndrome with the different chief of complaint when admitted to the hospital. A 35-yearold woman presented to the Emergency ward with abdominal pain, while the older subject, a 67-year-old man complained of shortness of breath. Plain radiograph showed an elevated right hemidiaphragm and the presence of subphrenic air, making the diagnosis of Chilaiditi syndrome. Both patients were managed conservatively with nasogastric tube decompression and intravenous fluid. The follow up showed favorable results and symptoms resolved. Discussion: Chilaiditi syndrome might not be a rare entity, but a difficult syndrome to identify clinically due to its various unspecific symptoms. The radiological examination was needed to be carried out for the diagnosis. Conservative management led to favorable results. Conclusion: Clinicians should be more aware of the diagnosis of Chilaidity syndrome with its various symptoms. Radiological evidence should be obtained for the confirmed diagnosis, and conservative management was the modality choice. Keywords: Chilaiditi syndrome; radiology; conservative.

show abstract

Section: Discussionmentioning

confidence: 99%

Two case series of Chiladiti syndrome and a review of literature

Aryanti¹,

Wiargitha²,

Atmadjaya³

2021

J Clin Images Med Case Rep

View full text Add to dashboard Cite

show abstract

“…More often, the syndrome is a mimicker of acute abdomen or even acute chest condition. [ 7 ] Pulmonary manifestation of the syndrome is rarely described, but physiologically, it is there due to mechanical reduced lung capacity (obstructive lung disease). This factor causes respiratory distress even there is no chest pathology.…”

Section: Discussionmentioning

confidence: 99%

A case of liver cirrhosis and Chilaiditi syndrome with atypical pneumonitis

Krishna

Panda

Hariprasad

et al. 2018

J Family Med Prim Care

View full text Add to dashboard Cite

Respiratory distress is very uncommon as a presenting symptom of Chilaiditi syndrome. Furthermore, pneumonia is not documented with the syndrome, compromising further to the distress. We describe a middle-aged man, chronic alcoholic, recently diagnosed with liver cirrhosis, presented with a 1-year history of slowly progressive breathlessness. Recently, he developed mild-to-moderate hemoptysis and cough with aggravation of breathlessness. He did not have fever, chest pain, or orthopnea. He was cyanosed, requiring high-dose oxygen therapy. Later on, he stabilized with noninvasive ventilation. Chest imagings showed incidental Chilaiditi sign, liver cirrhosis, and atypical pneumonitis. With empirical antibiotics and high-dose steroid, he recovered completely but with baseline breathlessness. Here, we outline Chilaiditi syndrome as a rare association or manifestation of liver cirrhosis, and it can present with a respiratory compromise by both obstructive lung disease and atypical interstitial pneumonia. Early identification, vaccinations against common organisms, and possible early surgery may prevent morbidity and mortality of this type of patients.

show abstract

“…The development of pericarditis would have been caused due to pericardial injury because of the motion of the colon into the mediastinum 2. In later stages, the bowel loops under the diaphragm can severely compress the lungs and eventually the heart or surrounding organs and present with symptoms of heart disease 3. Chilaiditi syndrome is the cause and a great imitator of many diseases.…”

Section: Descriptionmentioning

confidence: 99%

Undiagnosed Chilaiditi syndrome presenting with pericarditis in a patient with congenital anomalies

Ali

Essawy²,

Menakuru³

2018

BMJ Case Reports

View full text Add to dashboard Cite

DesCripTionA 19-year-old male patient presented to the emergency room with dyspnoea and severe retrosternal chest pain. The patient's medical history is significant for cerebral palsy with spastic tetraplegia. He layed in a semirecumbent position as pain was severe on lying down. The pain radiated to the back, neck and shoulder. Pain was associated with gastro-oesophageal reflux disease and dysuria. On examination, he was breathless, and lungs were clear to auscultation. On auscultating over the heart, pericardial rub was heard. Abdomen was tender on palpation and he did not defecate for 2 days. He had a history of recurrent pneumonia that needed frequent hospital admissions and currently receiving treatment as the last episode was 1 month ago.ECG showed widespread concave ST elevation and PR depression with reverse changes in aVR of ST depression and PR elevation with sinus tachycardia suggesting early stage of pericarditis. Sputum culture was negative. Chest X-ray was done (figure 1) and revealed an area of previous pneumonia in the right lung and enlarged left border of heart, which was not definitive of pericarditis because of the rotational effect of his scoliosis, but raised the need for further investigation into the presumptive diagnosis of pericarditis. C reactive protein was elevated on laboratory investigation. Transthoracic echo was not significant besides that all other findings met the criteria for the diagnosis of pericarditis, that is, at least two from (1) characteristic chest pain, (2) pericardial rub, (3) ECG changes (widespread ST elevation and/or PR depression) and (4) new pericardial effusion. While examining the X-ray further, the most remarkable finding was the presence of large intestine loops between the liver and diaphragm, which was previously undiagnosed.

show abstract

Chilaiditi syndrome mimicking congestive heart failure

Cited by 4 publications

References 2 publications

Two case series of Chiladiti syndrome and a review of literature

Two case series of Chiladiti syndrome and a review of literature

A case of liver cirrhosis and Chilaiditi syndrome with atypical pneumonitis

Undiagnosed Chilaiditi syndrome presenting with pericarditis in a patient with congenital anomalies

Contact Info

Product

Resources

About