Differentiating Chilaiditi’s Syndrome with hollow viscus perforation: A case report

Sofii, Imam; Parminto, Zakariya Aji; Anwar, Sumadi Lukman

doi:10.1016/j.ijscr.2020.12.029

Cited by 8 publications

(13 citation statements)

References 2 publications

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“…Chilaiditi sign is radiolucency in the subdiaphragmatic space that results from bowel interposition between the diaphragm and the liver [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

“…In cases of the syndromic form, symptomatic management involves the use of laxatives and hydration. Surgical intervention is rarely indicated unless complications, such as perforation and arise [ 3 , 6 , 7 ].…”

Section: Discussionmentioning

confidence: 99%

“…Surgery is primarily reserved for cases where conservative treatment fails or there is a suspicion of serious complications such as ischemia or perforation. When surgery is necessary, it can be conducted using traditional open techniques, or minimally invasive approaches such as laparoscopic or robotic surgery [ 2 , 6 ]. The surgical strategy might involve resecting the affected part of the colon, known as a right hemicolectomy, or affixing the liver to the abdominal wall to eliminate the space that allows for colonic displacement [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

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Pneumoperitoneum and Chilaiditi syndrome: navigating a diagnostic conundrum

Bourakkadi Idrissi,

Dkhissi

2024

Journal of Surgical Case Reports

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Chilaiditi sign represents a rare condition marked by the interposition of the bowel between the diaphragm and liver, mimicking pneumoperitoneum on radiological imaging. The syndrome manifests with gastrointestinal symptoms and is often confused with more serious conditions. This case report presents a rare instance of Chilaiditi syndrome, initially misdiagnosed as pneumoperitoneum based on chest X-ray findings. The patient, a 61-year-old woman, arrived at the emergency department complaining of acute epigastric pain. Initial tests, including a chest X-ray, suggested pneumoperitoneum, but a subsequent contrast-enhanced abdominal CT-scan revealed the interposition of the right colon between the liver and diaphragm, characteristic of Chilaiditi sign. The patient’s symptoms, including abdominal pain and diarrhea, were consistent with Chilaiditi syndrome. The patient was treated successfully with intravenous antibiotics and fluids, showing significant improvement within 48 hours. The report highlights the importance of differentiating Chilaiditi syndrome from other acute abdominal conditions to avoid unnecessary surgical intervention.

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“…Chilaiditi sign is radiolucency in the subdiaphragmatic space that results from bowel interposition between the diaphragm and the liver [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Pneumoperitoneum and Chilaiditi syndrome: navigating a diagnostic conundrum

Bourakkadi Idrissi,

Dkhissi

2024

Journal of Surgical Case Reports

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“…Chilaiditi syndrome is a rare entity in which abdominal pain or bowel obstruction is caused by interposition of the colon between the inferior surface of the right hemidiaphragm and the superior surface of the liver 1 2. The estimated incidence is 0.025% to 0.28% and it appears more frequently in men with a median age of 60 3–6.…”

Section: Introductionmentioning

confidence: 99%

“…The majority of patients with Chilaiditi’s sign are asymptomatic. However, a small portion of patients can develop abdominal pain and symptoms of bowel obstruction 1 8. Most patients with mild symptoms can be managed conservatively with bowel rest, bowel decompression and laxatives.…”

Section: Introductionmentioning

confidence: 99%

Surgical management of large bowel obstruction and significant hepatic displacement caused by Chilaiditi syndrome

Kao,

Dunkley,

Hodgson

2023

BMJ Case Rep

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Chilaiditi’s sign is the presence of pseudopneumoperitoneum caused by colonic distension and interposition with the liver on radiographic films. Most patients with Chilaiditi’s sign are asymptomatic. Chilaiditi’s syndrome is defined as the development of abdominal pain or symptoms of bowel obstruction along with the presence of Chilaiditi’s sign. It is a rare entity and it poses significant diagnostic challenges due to its similar radiographic appearance to pneumoperitoneum. Most patients with Chilaiditi syndrome can be managed conservatively. However, surgery is indicated for those who do not respond to conservative management or for suspicion of severe complications such as bowel ischaemia or perforation. In this case report, we described the surgical management of a patient who presented with bowel obstruction and significant hepatic displacement from Chilaiditi syndrome.

Differentiating Chilaiditi’s Syndrome with hollow viscus perforation: A case report

Cited by 8 publications

References 2 publications

Pneumoperitoneum and Chilaiditi syndrome: navigating a diagnostic conundrum

Pneumoperitoneum and Chilaiditi syndrome: navigating a diagnostic conundrum

Surgical management of large bowel obstruction and significant hepatic displacement caused by Chilaiditi syndrome

Chilaiditi syndrome in COPD patient: A case report

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