Chilaiditi Syndrome—What's Air Doing There?

Hussain, Sara; Hussain, Shabbir; Hussain, Sahar

doi:10.1016/j.jemermed.2018.07.022

Cited by 5 publications

(3 citation statements)

References 6 publications

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“…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]. Our patient was initially treated in other hospitals and was diagnosed with enteritis and constipation.…”

Section: Discussionmentioning

confidence: 98%

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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Section: Discussionmentioning

confidence: 98%

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

Luo

Wang

et al. 2018

WJCC

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“…More specifically, Chilaiditi syndrome is initially managed conservatively with rest, fluid therapy, or laxatives administration. Surgical intervention is usually indicated in patients who do not respond to the aforementioned measures or when severe complications occur (e.g., volvulus, perforation) [7][8][9][10][11]. There is also recent literature evidence that Chilaiditi's syndrome may be intermittent in nature with resolutions and recurrences and, therefore, some authors suggest regular and long-term follow-up of patients who were conservatively managed [12].…”

Section: Discussionmentioning

confidence: 99%

A rare radiological finding in an infant with respiratory distress

2018

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We report the case of an infant who presented with respiratory distress at the Emergency Department. A chest radiograph showed interposition of colon loops between the right hemidiaphragm and liver, while abdominal and thoracic ultrasound examinations were normal. The aforementioned radiological finding was considered to be Chilaiditi's sign. This sign usually presents as an incidental radiological finding and may be mistaken for a pneumoperitoneum or a diaphragmatic hernia. Clinicians' familiarity with rare radiological signs is necessary.

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“…Common symptoms associated with Chilaiditi syndrome in children are abdominal pain, vomiting, abdominal distention, and constipation [3]. Although it is very rare in childhood, there have been cases reports of Chilaiditi syndrome and its signs in children as young as 10 days [4] to those aged 11 years [3], and there has been a surge in reports of this condition among children of both genders in the past 10 years [4][5][6][7][8][9]. This article was previously presented as a meeting abstract at the 2023 Nemours Children's Health Research Week.…”

Section: Introductionmentioning

confidence: 99%

A Rare Presentation of Pseudo-Pneumoperitoneum Secondary to Chilaiditi Sign and Chilaiditi Syndrome in Two Pre-adolescent Females: A Case Series

Vazquez,

Jones,

Ishikawa

et al. 2023

Cureus

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Chilaiditi sign is defined as the interposition of the colon or small intestine between the liver and the right diaphragm in the absence of symptoms. Chilaiditi syndrome refers to the condition where the Chilaiditi sign is associated with symptoms including abdominal pain. In this series, we present the cases of two pre-pubescent patients with these rare conditions. A 10-year-old female with a history of autism, IgA deficiency, and constipation presented for gastrointestinal studies due to weight loss and constipation. An abdominal X-ray revealed bowel gas under the right hemidiaphragm and colonic interposition between the diaphragm and the liver, raising concerns for the Chilaiditi sign. She underwent a bowel cleanout, with studies revealing colonic dysmotility and compartmentalization of the sigmoid colon and rectum with the absence of coloanal reflex. A nine-year-old female with a history of constipation, developmental delay, and hypotonia presented with abdominal pain, vomiting, constipation, and decreased appetite. She also manifested tachypnea, abdominal distension, and abdominal tenderness, with an abdominal X-ray revealing a dilated colon interposed between the liver and diaphragm, confirming Chilaiditi syndrome. Prior gastrointestinal studies showed dilated and redundant sigmoid colon and dyssynergia. The treatment entailed rectal irrigations and catheter decompression, which led to the improvement of symptoms. Conservative treatment is the treatment of choice for patients with Chilaiditi sign or Chilaiditi syndrome. It is important to distinguish Chilaiditi syndrome, a common cause of pseudo-pneumoperitoneum, from true pneumoperitoneum, as this diagnosis warrants immediate surgical intervention. Surgical treatment is indicated when there are signs of bowel obstruction or ischemia and for cases with recurrent Chilaiditi syndrome. Raising awareness about this condition is important to reduce the incidence of misdiagnosed surgical emergencies and resulting exploratory surgeries, as well as to avoid high-risk colonoscopies. Chilaiditi sign and Chilaiditi syndrome are relatively uncommon entities, and their prevalence is very rare in the pediatric population. Hence, we believe this case series will contribute to providing clinical awareness of these major complications and avoiding invasive interventions due to the inaccurate diagnosis of these conditions as pneumoperitoneum.

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Chilaiditi Syndrome—What's Air Doing There?

Cited by 5 publications

References 6 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

A rare radiological finding in an infant with respiratory distress

A Rare Presentation of Pseudo-Pneumoperitoneum Secondary to Chilaiditi Sign and Chilaiditi Syndrome in Two Pre-adolescent Females: A Case Series

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