Interstitial Lung Disease  with Chilaiditi Syndrome

Garg, Kranti; Mohapatra, Prasanta Raghab; Aggarwal, Deepak; Gupta, Robin; Janmeja, Ashok Kumar

doi:10.7860/jcdr/2016/23577.9074

Cited by 2 publications

(2 citation statements)

References 4 publications

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“…It has been suggested that there is a 4:1 male-to-female ratio incidence of Chilaiditi's sign [5]. This rare condition can mimic other more common conditions such as respiratory compromise, angina-like symptoms, nausea, vomiting, diarrhea, bowel obstruction, pneumoperitoneum, and abdominal pain [5][6][7].…”

Section: Discussionmentioning

confidence: 99%

Chilaiditi’s Syndrome Mimicking Crohn’s

Aodish,

Chang,

Callow

2024

Cureus

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Chilaiditi's sign (colonic interposition) is a rare anomaly due to an abnormally located portion of the colon that is interposed in between the liver and the diaphragm. This rare anomaly is often incidentally seen on chest or abdominal radiographs. Chilaiditi's radiographic sign is usually asymptomatic, whereas the medical condition accompanied by clinical symptoms is termed Chilaiditi's syndrome. Possible causes of the syndrome include a long and mobile colon, scarring of the liver (cirrhosis), ascites, long-standing lung disease, as well as laxity of the falciform ligament. The most common clinical signs of Chilaiditi's syndrome include gastrointestinal symptoms; however, clinical presentation can vary. This report describes a case of a 21-year-old male patient who presented with a longstanding history of left upper quadrant epigastric abdominal pain with diarrhea (six to eight loose watery stools). The patient was diagnosed with Crohn's colitis and had tried a myriad of medical therapies with no adequate response. He chose to seek a second opinion and was subsequently discovered to have Chilaiditi's syndrome via computed tomography (CT) and confirmed by barium enema. The patient then elected to undergo a right laparoscopic colectomy to resolve the symptoms. By postoperative day five, all symptoms had resolved including abdominal pain and diarrhea. Therefore, it is important to consider Chilaiditi's syndrome as a differential diagnosis in persons presenting with left upper quadrant pain and symptoms of Crohn's colitis, especially those treated with adequate medical therapy without alleviation of symptoms.

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Section: Discussionmentioning

confidence: 99%

Chilaiditi’s Syndrome Mimicking Crohn’s

Aodish,

Chang,

Callow

2024

Cureus

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“…There are case reports of the syndrome with associated chronic lung conditions such as interstitial lung disease (ILD), COPD, and pulmonary malignancy. [ 9 10 ] These conditions are probably causing enlarged lower thoracic outlet after pushing the liver forward and downward, creating adequate space between the diaphragm and liver that facilitates the development of Chilaiditi sign. Once this sign develops, prevalent respiratory distress increases further due to reduced lung capacity.…”

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

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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.

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Interstitial Lung Disease with Chilaiditi Syndrome

Cited by 2 publications

References 4 publications

Chilaiditi’s Syndrome Mimicking Crohn’s

Chilaiditi’s Syndrome Mimicking Crohn’s

A case of liver cirrhosis and Chilaiditi syndrome with atypical pneumonitis

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