scholarly journals Chilaiditi’s Syndrome—What Every Endoscopist Should Know

Reports ◽  
2020 ◽  
Vol 3 (2) ◽  
pp. 11
Author(s):  
Jayan George ◽  
Ashleigh V Genever ◽  
Timothy J White
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Chest Radiograph ◽  
Transverse Colon ◽  
Bowel Perforation ◽  
Severe Abdominal Pain ◽  
Radiographic Sign ◽  
Chilaiditi’S Syndrome ◽  
Chilaiditi’S Sign ◽  
Chilaiditi's Syndrome

Chilaiditi’s syndrome is a rare and often asymptomatic anomaly, typically found as an incidental radiographic sign (gas under the diaphragm) due to hepato-diaphragmatic interposition of the transverse colon. We report a case of Chilaiditi’s syndrome following colonoscopy presenting with severe abdominal pain, dyspnoea and radiograph findings similar to the presence of bowel perforation (appearance of gas under the hemidiaphragm on erect chest radiograph). Computed tomography (CT) evidence of Chilaiditi’s sign prevented unnecessary laparotomy.

scholarly journals Chilaiditi syndrome in a patient with urological problems: Incidental diagnosis on computed tomography

2012 ◽  
Vol 6 (2) ◽  
Author(s):  
Cevahir Özer ◽  
Seda Zenger
Keyword(s):  
Computed Tomography ◽  
Small Intestine ◽  
Abdominal Pain ◽  
Respiratory Distress ◽  
Incidental Diagnosis ◽  
Rare Syndrome ◽  
Chilaiditi Syndrome ◽  
Chilaiditi’S Syndrome ◽  
Chilaiditi's Syndrome

A rare syndrome, Chilaiditi’s syndrome is interposition of the colon only or with the small intestine in hepatodiaphragmatic area. It may be asymptomatic, but it may also present with symptoms, such as abdominal pain, nausea, vomiting, constipation and respiratory distress. We present a patient who was admitted with urological problems; he was incidentally diagnosed with Chilaiditi’s syndrome

Chilaiditi Syndrome and Recurrent Colonic Volvulus: A Case Report

2001 ◽  
Vol 87 (2) ◽  
pp. 111-112
Author(s):  
Jon Matthews ◽  
Giles W Beck ◽  
Douglas M G Bowley ◽  
Andrew N Kingsnorth
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Case Report ◽  
Optimal Treatment ◽  
X Ray ◽  
Colonic Volvulus ◽  
Chilaiditi’S Syndrome ◽  
Chest X Ray ◽  
Chilaiditi’S Sign ◽  
Chilaiditi's Syndrome

AbstractThe case of a 31 year old male presenting as an emergency with a recurrent colonic volvulus is described. A chest X-ray on admission to hospital showed the presence of hepato-diaphragmatic interposition of the colon, Chilaiditi’s Sign, which is known to be a risk factor for colonic volvulus. This is only the fourth reported case of colonic volvulus in association with Chilaiditi’s Syndrome and the first with recurrent colonic volvulus. The optimal treatment for recurrent volvulus in patients with risk factors such as Chilaiditi’s Syndrome or megacolon is also discussed.

scholarly journals Small Bowel Diverticulosis Causing Pneumoperitoneum without Peritonitis: A Case Report

2018 ◽  
Vol 01 (01) ◽  
pp. 069-071
Author(s):  
Geena Benjamin ◽  
Agnes Thomas ◽  
Mathew Koshy
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Small Bowel ◽  
Bowel Perforation ◽  
Chronic Abdominal Pain ◽  
Rare Finding ◽  
X Ray ◽  
Computed Tomography Images ◽  
Clinical Presentations ◽  
Fatal Complications

AbstractSmall bowel diverticulosis is a rare finding, with varied clinical presentations, which make the diagnosis difficult and delayed. Many cases are asymptomatic. However, it is an entity that can present with fatal complications. Here, we present a case of a 79-year-old male patient with diffuse small bowel diverticulosis, who presented with loose stools and acute exacerbation of chronic abdominal pain. Plain abdominal X-ray showed dilated bowel loops and pneumoperitoneum, which raised the possibility of bowel perforation. Computed tomography images revealed diffuse small bowel diverticulosis and pneumoperitoneum. Subsequent explorative laparotomy revealed no bowel perforation. Small bowel diverticulosis is a well-known cause of chronic/recurrent pneumoperitoneum without peritonitis or surgery.

scholarly journals Chilaiditi's sign and syndrome: Theoretical facts and a case report

2016 ◽  
Vol 73 (3) ◽  
pp. 277-279 ◽  
Author(s):  
Biljana Zvezdin ◽  
Nevena Savic ◽  
Sanja Hromis ◽  
Violeta Kolarov ◽  
Djordje Tausan ◽  
...  
Keyword(s):  
Case Report ◽  
Incidental Finding ◽  
Radiological Finding ◽  
Gastrointestinal Symptoms ◽  
Clinical Importance ◽  
Chronic Obstructive ◽  
Benign Condition ◽  
Chilaiditi’S Syndrome ◽  
Chilaiditi’S Sign ◽  
Chilaiditi's Syndrome

Introduction. Chilaiditi's syndrome is a rare condition manifested by gastrointestinal symptoms, and radiologically verified by transposition of the large intestine loop. This radiological finding with no manifested symptoms is termed the Chilaiditi's sign. The aim of this case report was to remind the clinicians of the possibility of this rare syndrome, whose symptoms and signs may be misinterpreted and inadequately treated, with consequent diverse complications. Case report. We presented the theoretical facts and a patient in whom the diagnosis of Chilaiditi's syndrome was established incidentally, when hospitalized for an exacerbation of his chronic obstructive pulmonary disease. The Chilaiditi's sign was verified as an incidental finding on chest X-ray performed to evaluate the primary disease. Conclusion. Chilaiditi's syndrome is a benign condition which rarely requires surgery. Its clinical importance lies in adequate differential diagnostic approach and timely management of potentially serious complications.

scholarly journals One of the Rare Reasons of Abdominal Pain-Chilaiditi’s Syndrome

2017 ◽  
Vol 16 (1) ◽  
pp. 40-42
Author(s):  
Eylem Kuday Kaykisiz ◽  
Ozgur Ozer ◽  
Zubeyir Dalgic
Keyword(s):  
Abdominal Pain ◽  
Chilaiditi’S Syndrome ◽  
Chilaiditi's Syndrome

scholarly journals Successful laparoscopic approach for idiopathic adult colo-colonic intussusception: a case report

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Kyota Tatsuta ◽  
Mayu Sakata ◽  
Kosuke Sugiyama ◽  
Toshiya Akai ◽  
Katsunori Suzuki ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Transverse Colon ◽  
Bowel Wall ◽  
Malignant Tumors ◽  
Abdominal Cavity ◽  
Laparoscopic Approach ◽  
Laparoscopic Procedure ◽  
Adult Intussusception ◽  
Surgical Reduction

Abstract Background Adult intussusception is recognized as an abdominal emergency. More than 90% of adult patients with intussusception have distinct causes that are related to benign or malignant tumors. In contrast, idiopathic intussusceptions, which are observed in children, are rare conditions in adult. Especially, colo-colonic idiopathic intussusceptions are rare among them. Surgery is traditionally considered the primary treatment option. Recently, laparoscopic surgery has been reported to be safe and feasible. However, laparoscopic surgical reduction, which is a common procedure in pediatric surgery, is not common in adult intussusception. Case presentation We report a 34-year-old man who presented with sudden abdominal pain. Computed tomography revealed the target sign in the transverse colon. There was no evidence of bowel obstruction, bowel wall edema, or tumor. We diagnosed idiopathic intussusception and selected laparoscopic procedure because of the strong abdominal pain experienced by the patient. There were no signs of perforation, bowel wall ischemia, or tumor in abdominal cavity. We confirmed idiopathic colo-colonic anterograde intussusception. Laparoscopic surgical reduction was achieved by a combination of delicate direct pressure on the anal side of the transverse colon and gentle pulling on the oral side. The patient’s postoperative course was uneventful. Conclusions We achieved successful surgical reduction laparoscopically because of an accurate preoperative diagnosis based on characteristic computed tomography features and appropriate surgical technique. Laparoscopic procedure and surgical reduction is considered to be an effective treatment strategy for adult idiopathic intussusceptions with severe symptoms.

scholarly journals An Unpleasant Surprise: Abdominal Presentation of Malignant Mesothelioma

2020 ◽  
Vol 8 ◽  
pp. 232470962095012
Author(s):  
Dustin J. Uhlenhopp ◽  
Ann Saliares ◽  
Vinaya Gaduputi ◽  
Tagore Sunkara
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Malignant Mesothelioma ◽  
Bowel Perforation ◽  
Asbestos Exposure ◽  
Stage Iv ◽  
Mass Effect ◽  
Diffuse Abdominal Pain ◽  
Atypical Presentations ◽  
The Right

Malignant mesothelioma is an aggressive cancer associated with asbestos exposure with median survival time of 8 to 14 months following diagnosis. Given that mesothelial cells also line the peritoneum and pericardium, malignant mesothelioma can present in unusual sites and in patients with nonrespiratory complaints. A 73-year-old male presented to the emergency department for worsening intermittent diffuse abdominal pain for the past 3 months with associated unintentional 40-pound weight loss, early satiety, and diarrhea. He denied exposure to asbestos. Computed tomography imaging revealed multiple masses concerning for malignancy including the primary retroperitoneal mass, a mass involving the terminal ileum, and a mass in the right upper lung. Esophagogastroduodenoscopy demonstrated significant mass effect within the stomach without signs of endoluminal infiltration. Computed tomography–guided biopsy of the retroperitoneal abdominal and intramuscular paraspinal masses was performed. Stage IV epithelioid mesothelioma was confirmed when hematoxylin and eosin staining revealed pleomorphic malignancy nuclei containing a vesicular chromatin pattern and prominent nucleoli and immunohistochemical staining was positive for CK Oscar, cytokeratin 7, GATA3, calretinin, EMA, and CK5/6. He was started on cisplatin, pemetrexed, and bevacizumab but developed severe abdominal pain with pneumoperitoneum and bowel perforation 1 month later and expired shortly thereafter. To our knowledge, this represents a highly atypical presentation of malignant mesothelioma considering the involvement of the retroperitoneum with diffuse lesions in the abdominopelvic cavity and thorax (sparing the lung pleurae). This case also calls attention to the occurrence of malignant mesothelioma in patients without known asbestos exposure and the crucial role of pathology in diagnosing atypical presentations.

scholarly journals Small bowel perforation after low-velocity trauma: a case report

2021 ◽  
Vol 2021 (4) ◽  
Author(s):  
S Sinz ◽  
L Benigno ◽  
M A Zadnikar ◽  
M E Biraima-Steinemann
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Case Report ◽  
Small Bowel ◽  
Diagnostic Laparoscopy ◽  
Bowel Perforation ◽  
Small Bowel Perforation ◽  
Computed Tomography Scan ◽  
Low Velocity ◽  
Tomography Scan

Abstract We report the case of a 63-year-old patient with a low-velocity abdominal trauma and bowel perforation. The patient slipped on a wet floor and fell down the stairs. On admission, the patient complained about abdominal pain. A computed tomography scan showed traumatic hematoma of the jejunum in the left upper quadrant and a small amount of intra-abdominal air. Also rib fractures on the left side were diagnosed. We performed a diagnostic laparoscopy and found a bowel perforation, which was manually repaired.

Sign in / Sign up

Export Citation Format

Share Document