Chilaiditi syndrome: an unusual presentation in elderly man

Journal of Surgical Case Reports
Aqdas A Al OmranAmeera S Balhareth

Abstract

Chilaiditi syndrome is a radiological manifestation of a large bowel interposition between the liver and right hemidiaphragm that associated with gastrointestinal symptoms. We report a case of 78-year-old Saudi male with multiple comorbidities, presented to the emergency department with two episodes of passaging a large amount of fresh, bright blood per rectum. Later, the patient was diagnosed with Chilaiditi syndrome and managed with conservative measures. The presence of Chilaiditi signs can be caused by an abnormality of either liver, colon or right hemidiaphragm that leads to sub-diaphragmatic space enlargement or intestinal hypermobility. Computed tomography imaging is the best diagnostic modality. Conservative treatment is the first line in management.

References

Aug 28, 2002·Gastrointestinal Endoscopy·See-Ching ChanKent-Man Chu
Aug 24, 2006·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Timothy A PlatzJeffery Lord
Jul 24, 2013·BMJ Case Reports·Mariam Alansari
Aug 13, 2013·Case Reports in Surgery·David KangMiguel Lopez-Viego

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Citations

Oct 14, 2020·Curēus·Gillean CortesMark M Aloysius
Jul 31, 2021·Curēus·Christos SotiropoulosKonstantinos Thomopoulos

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Methods Mentioned

BETA
X-Ray
biopsy

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