Syndrome de Chilaïditi responsable d'une occlusion avec nécrose du grêle après une césarienne : cas princeps

Safaï, K.; Sodji, M.; Kapella, M.; Maubon, A.; Servaud, M; Aubard, Y.

doi:10.1016/j.gyobfe.2006.03.023

Cited by 5 publications

(5 citation statements)

References 6 publications

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“…This prevention is attributed to the presence of organ-fixing structures, including the mesentery, the greater omentum apron, the peritoneum, digestive ligaments, and vascular pedicles. Elevated intra-abdominal pressures, along with intestinal gas distension and, notably, digestive mobility, play a central role in the creation of a virtual inter-hepato-diaphragmatic space [ 7 ].…”

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%

“…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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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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“…Ces caractéristiques sont remarquées chez 6% des patients à la naissance. Par ailleurs, chez l'adulte d'autres causes sont incriminées dont la cirrhose [ 10 ], la constipation chronique, l'augmentation de la pression abdominale (la grossesse) [ 11 ], l'obésité [ 12 ], l’élargissement des bases de la cage thoracique due à une pneumopathie obstructive chronique avec un large espace dans lequel l'interposition du colon peut survenir [ 1 ].…”

Section: Discussionunclassified

“…Sur le plan anatomopathologique, c'est le colon transverse en premier suivi de l'angle colique hépatique qui sont les segments du colon les plus rencontrés interposer entre le foie et le diaphragme ou la paroi abdominale, toute fois l'interposition de l'intestin grêle est aussi rapporté[ 11 – 13 ].…”

Section: Discussionunclassified

Syndrome de Chilaiditi chez un nouveau-né, à propos d’un cas

Cedrick¹,

Maruis²,

Mireille³

et al. 2014

Pan Afr Med J

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Chilaiditi-Syndrom mit subdiaphragmal perforierter Appendizitis

Lenz¹,

Kindler²,

Schilling³

et al. 2011

Chirurg

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We report on a case of an 80-year-old female patient who presented to the emergency room of with right upper quadrant abdominal pain since the day before. During the initial diagnostic an abdominal x-ray study revealed an air-filled colonic section of the bowel under the right hemidiaphragm corresponding to Chilaiditi's sign. The clinical symptoms and laboratory results were mild at this time. After 12 h the patient developed right upper quadrant peritonitis due to a perforated, subdiaphragmatic appendicitis based on Chilaiditi's syndrome. During surgical treatment the cecum and parts of the ascending colon were found to be interposed between the liver and right hemidiaphragm. A right hemicolectomy was performed which led to complete recovery of the patient. In addition to presenting this interesting case this article highlights the regime of the diagnostics and therapy of a complication of the very rare condition of Chilaiditi's syndrome.

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Syndrome de Chilaïditi responsable d'une occlusion avec nécrose du grêle après une césarienne : cas princeps

Cited by 5 publications

References 6 publications

Pneumoperitoneum and Chilaiditi syndrome: navigating a diagnostic conundrum

Pneumoperitoneum and Chilaiditi syndrome: navigating a diagnostic conundrum

Syndrome de Chilaiditi chez un nouveau-né, à propos d’un cas

Chilaiditi-Syndrom mit subdiaphragmal perforierter Appendizitis

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