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Chilaiditi Syndrome: A Rare Case and Clinical Insights for Diagnosis and Management.
Cureus
November 2023
Internal Medicine, Centro Hospitalar Universitário do Algarve - Unidade de Portimão, Portimão, PRT.
Chilaiditi syndrome is a rare medical condition characterized by the interposition of a hollow organ, usually the colon, between the liver and diaphragm, leading to abdominal pain, discomfort, bloating, constipation, or nausea; in more severe instances, respiratory symptoms may manifest due to pressure on the diaphragm. The exact cause remains unclear but is thought to present along with various factors such as anatomical anomalies (hepato-diaphragmatic interposition and intestinal malrotation) and chronic conditions (cirrhosis or chronic obstructive pulmonary disease). This case report presents a 78-year-old male with rapid deterioration, confusion, and mild abdominal discomfort.
View Article and Find Full Text PDFPneumatosis cystoides intestinalis associated with gastric outlet obstruction; A case report.
Int J Surg Case Rep
October 2023
Department of Surgery, Faculty of Medicine, Institute of Health, Jimma University, Ethiopia.
Introduction And Importance: Pneumatosis cystoides intestinalis (PCI) is defined as the presence of air-filled cysts in the bowel wall. The overall incidence of pneumatosis cystoides intestinalis in the general population is very rare.
Presentation Of Case: This is a 44-year-old male patient who presented with epigastric abdominal pain and repeated vomiting of one-month duration.
'Hepato-diaphragmatic fat interposition' and 'increased right hemi-diaphragmatic thickness': new imaging signs for early diagnosis of hepatic cirrhosis on routine CT abdomen.
Abdom Radiol (NY)
January 2020
Max Superspeciality Hospital, Saket, New Delhi, India.
Background: Cirrhosis of liver is often a silent disease and need early diagnosis for effective treatment strategy.
Objectives: The present article aims to describe new imaging signs for early diagnosis of cirrhosis on routine CT. These are 'hepato-diaphragmatic fat interposition' (HDFI) and 'increased right hemi-diaphragmatic thickness' (increased r-DT sign).
Chilaiditi's Sign Associated with Acute Colonic Pseudo-obstruction: A Radiological Diagnosis.
Cureus
March 2018
Associate Professor of Medicine Section of Digestive Diseases & Nutrition, University of Oklahoma Health Sciences Center.
Chilaiditi's sign is a rare radiological anomaly of hepato-diaphragmatic interposition of the bowel. We report a case of Chilaiditi's sign associated with acute colonic pseudo-obstruction. A 90-year-old male was admitted for hypertensive emergency.
View Article and Find Full Text PDFSurgical management of Chilaiditi syndrome with da Vinci® robotic system.
Int J Surg Case Rep
November 2017
Department of General Surgery, Community Memorial Hospital, 2605 Loma Vista Road, Ventura, CA, 93003 USA. Electronic address:
Introduction: Chilaiditi's syndrome is a combination of radiographic finding of hepato-diaphragmatic interposition of intestine with gastrointestinal symptoms which sometimes requires operative intervention. This is, to our knowledge, the first report of robotic-assisted technique for surgical management of this rare condition.
Presentation Of Case: We report a case of 85-year-old woman with persistent pain and diarrhea from Chilaiditi's syndrome who underwent robotic-assisted colopexy with good outcome.
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