scholarly journals Chilaiditi’s sign or syndrome? Diagnostic question in two patients with concurrent cardiovascular diseases

2017 ◽  
Vol 87 (2) ◽  
Author(s):  
Panagiotis Hountis ◽  
Maria Chounti

<p>Chilaiditi’s sign is the asymptomatic, usually incidental radiographic finding, in which a part of the intestine is located between the liver and the diaphragm. The term Chilaiditi syndrome is referred to cases with symptomatic hepatodiaphragmatic interposition. Chilaiditi’s syndrome is usually associated with abdominal or lower thoracic symptoms. We present here the cases of two patients that were admitted with predominantly thoracic  atypical pain. During cardiac work up, it was found that there was a concurrent heart disease for which both patients were managed. Although both patients were treated for the heart disease, a full conservative treatment was implemented, having in mind that Chilaiditi’s syndrome instead of sign could be responsible for the symptoms. Patients’ course was uneventful and they are regularly followed up.  </p><p><strong> </strong></p>

2001 ◽  
Vol 87 (2) ◽  
pp. 111-112
Author(s):  
Jon Matthews ◽  
Giles W Beck ◽  
Douglas M G Bowley ◽  
Andrew N Kingsnorth

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.


2012 ◽  
Vol 6 (2) ◽  
Author(s):  
Cevahir Özer ◽  
Seda Zenger

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


2016 ◽  
Vol 73 (3) ◽  
pp. 277-279 ◽  
Author(s):  
Biljana Zvezdin ◽  
Nevena Savic ◽  
Sanja Hromis ◽  
Violeta Kolarov ◽  
Djordje Tausan ◽  
...  

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.


1998 ◽  
Vol 77 (9) ◽  
pp. 783-786 ◽  
Author(s):  
Robert A. Kloner

Viagra, an oral drug taken one hour prior to sexual activity, improves erectile function in the majority of men with erectile dysfunction who receive it. It is not an aphrodisiac and therefore will not work without sexual stimulation. The drug is absolutely contraindicated in patients on organic nitrates, as this combination can lead to severe drops in blood pressure. Patients with heart disease, suspected heart disease and risk factors for heart disease should discuss with their physicians the safety of resuming sexual activity. A cardiac work-up, including exercise treadmill testing, should be considered in appropriate patients.


Reports ◽  
2020 ◽  
Vol 3 (2) ◽  
pp. 11
Author(s):  
Jayan George ◽  
Ashleigh V Genever ◽  
Timothy J White

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.


2009 ◽  
Vol 2009 (jan08 1) ◽  
pp. bcr2007046417-bcr2007046417
Author(s):  
B Hivert ◽  
S. G Der ◽  
Y E Claessens ◽  
B Randone ◽  
G Afanou ◽  
...  

2008 ◽  
Vol 25 (2) ◽  
pp. 87-87 ◽  
Author(s):  
B Hivert ◽  
G Der Sahakian ◽  
Y E Claessens ◽  
B Randone ◽  
G Afanou ◽  
...  

2005 ◽  
Vol 71 (3) ◽  
pp. 261-263 ◽  
Author(s):  
Alan A. Saber ◽  
Michael J. Boros

Demetrius Chilaiditi first described an incidental radiological finding1 of hepatodiaphragmatic interposition of bowel in 1910. The condition could be mistaken for pneumoperitoneum. This radiographic entity, known as Chilaiditi's sign, is found in asymptomatic patients and must be distinguished from Chilaiditi's syndrome, which produces symptomatology associated with the bowel interposition. A review of the literature yielded 27 published cases of Chilaiditi's syndrome. These cases were compiled to evaluate various aspects of this rare but important entity.


Author(s):  
P. Vasileiadis ◽  
G. Mavridis ◽  
A. Keramidas ◽  
D. Chardalidou ◽  
I. Pervos ◽  
...  

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