Hepatodiaphragmatic interposition of the intestine (Chilaiditi's syndrome)

Vessal, Karim; Borhanmanesh, Fathali

doi:10.1016/s0009-9260(76)80031-1

Cited by 53 publications

(48 citation statements)

References 7 publications

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“…In literature, Chilaiditi syndrome has been reported in association with chronic lung conditions (2.7%) [5]. There is a single case report of its association with pulmonoary fibrosis in an obese patient [4].…”

Section: Discussionmentioning

confidence: 99%

“…There is a single case report of its association with pulmonoary fibrosis in an obese patient [4]. Its association with chronic lung disease has been postulated to be due to lung disease associated with enlarged lower thoracic outlet leaving adequate space for intrusion of adjacent bowel segments [5]. The liver is pushed downwards facilitating the interposition of colon between diaphragm and liver [3].…”

Section: Discussionmentioning

confidence: 99%

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Interstitial Lung Disease with Chilaiditi Syndrome

Garg

Mohapatra

Aggarwal

et al. 2016

JCDR

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A 70-year-old male with smoking history of 50 pack years presented to pulmonary medicine department with complaints of gradually progressive shortness of breath for last 3 years, chest discomfort and productive cough for last one month. General physical examination was within normal limits. Examination of the respiratory system revealed bilateral wheeze and bilateral basal crepitus.Routine haemogram, serum rheumatoid factor, anti-nuclear antibody levels and C-reactive protein were within normal limits. Sputum was negative for acid fast bacilli. Chest radiograph revealed bilateral reticular pattern with hypertranslucent shadow below the right diaphragm suggestive of interposition of gut loops between right hemidiaphragm and liver [Table/ Fig-1]. High resolution CT thorax showed intralobular as well as interlobular interstitial thickening with areas of parenchymal fibrosis, honey combing predominantly in subpleural areas bilaterally [Table /Fig-2]. The above features were suggestive of ILD. Also seen was the interposition of colon between liver and diaphragm, colonic haustral pattern was seen suggestive of Chilaiditi sign [Table /Fig-3 Patient was started on inhaled bronchodilators, intravenous antibiotics, diuretics, perfenidone and symptomatic treatment for ILD.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Interstitial Lung Disease with Chilaiditi Syndrome

Garg

Mohapatra

Aggarwal

et al. 2016

JCDR

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“…In most patients the interposed segment is the hepatic flexure of the colon; interposition of the small intestine, either alone or in combination with the colon, occurs much less frequently (Vessal and Borhanmanesh, 1976). Kolju (1938) reported the interposition to be constant in two-thirds of patients and inconstant in one-third.…”

Section: Discussionmentioning

confidence: 99%

“…The condition is generally asymptomatic but it has been associated with the following symptoms: abdominal pain, nausea, vomiting, abdominal distension, flatulence, shortness of breath, substernal pain, constipation, and anorexia (Jackson and Hodson, 1957;Lekkas and Lentino, 1978;Vessal and Borhanmanesh, 1976). Symptoms are more frequent when the interposition involves the small intestine and when HDI occurs in mentally retarded adults (Lekkas and , 1978;Vessal and Borhanmanesh, 1976).…”

Section: Discussionmentioning

confidence: 99%

Chilaiditi's syndrome and obesity

et al. 2000

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“…Die Diagnosestellung erfolgt in der Regel zufällig anlässlich einer Röntgenuntersuchung des Thorax. Die Prävalenz des Chilaiditi-Syndroms in Europa wird auf etwa 0,02-0,002% geschätzt [1,2]. Als prädisponierende Faktoren werden in der Literatur eine angeborene Verlängerung der Ligamente zwischen Leber und Diaphragma [3], eine verdickte Fettschicht subdiaphragmal bei Adipositas [4], eine relative Vergrößerung des subdiaphragmalen Raums nach verkleinernden leberchirurgischen Eingriffen [5] und die Interposition als Folge eines Ileus [6] beschrieben.…”

Section: Diskussionunclassified

Dünndarmileus nach perkutaner endoskopischer Gastrostomie (PEG) bei Chilaiditi-Syndrom

Kupper¹,

Ohe²

2004

Visc Med

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Small Bowel Obstruction after Percutaneous Endoscopic Gastrostomy for Chilaiditi’s Syndrome We are reporting about a 60-year-old patient with progressive amyotrophic lateral sclerosis and an unknown Chilaiditi’s syndrome who, after giving a percutaneous gastric tube, developed an ileus due to strangulation and a gastric volvolus and died as a result of aspiration pneumonia. Patients with Chilaiditi’s syndrome should be treated with a percutaneous gastric tube only during a hospital stay because perforation of the extended mesenteric root is possible. Tension of the percutaneous gastric tube during fixation can cause secondary malrotation. This again can lead to difficulties in gastric emptying with the danger of aspiration.

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Hepatodiaphragmatic interposition of the intestine (Chilaiditi's syndrome)

Cited by 53 publications

References 7 publications

Interstitial Lung Disease with Chilaiditi Syndrome

Interstitial Lung Disease with Chilaiditi Syndrome

Chilaiditi's syndrome and obesity

Dünndarmileus nach perkutaner endoskopischer Gastrostomie (PEG) bei Chilaiditi-Syndrom

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