Chilaiditi syndrome is assosiated with hepatodiaphragmatic interposition of the colon and the small intestines. We anesthetized 2 patients with Chilaiditi syndrome. A 62-year-old woman with interposition of the intestine was scheduled for right femoral fibrosarcoma resection. She had been medicated for schizophrenia. Total intravenous anesthesia was induced and maintained. Another patient an 81-year-old man with interposition of the colon, was scheduled for transurethral resection of a bladder tumor. He was anesthetized with spinal anesthesia. In both cases, there was no cardiovascular complication or digestive disorder during the perioperative period.
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Cureus
December 2024
Clinical Pathology Department, Unidade Local de Saúde do Nordeste, Unidade Hospitalar de Bragança, Bragança, PRT.
The Chilaiditi sign is the presence of a loop of bowel interposed between the liver and the diaphragm. In most cases, the Chilaiditi sign is diagnosed as a rare incidental radiological finding on chest X-rays or the abdomen of asymptomatic patients. When associated with symptoms, it is named Chilaiditi syndrome.
View Article and Find Full Text PDFInt J Surg Case Rep
December 2024
Department of Surgery, College of Public Health and Medical Sciences, Jimma University, Jimma, Ethiopia.
Introduction: Chilaiditi syndrome is a rare disease that has ultimate clinical significance as it can result in misdiagnosis and serious consequences.
Case Presentation: A 65-year-old male patient presented to our hospital with sudden onset of severe, crampy peri-umbilical abdominal pain of 12 h duration. This patient was referred to our hospital for surgical intervention as the patient was misdiagnosed to have generalized peritonitis.
J Med Case Rep
October 2024
Dept. of General Surgery, Anadolu Medical Center, Kocaeli, Turkey.
Background: Chilaiditi's sign is an incidental radiographic finding, associated with intestinal disposition located between liver and right diaphragm. It is considered as an acquired rather than a congenital condition and the prevalence ranges from 1.18% to 2.
View Article and Find Full Text PDFClin Med Insights Case Rep
September 2024
Department of Internal Medicine, Methodist Hospital, Wenchi, Ghana.
Chilaiditi's sign is a rare radiological finding characterized by colonic interposition between the liver and the right hemidiaphragm. It is a cause of pseudopneumoperitoneum which is often mistaken for true pneumoperitoneum. In this article, we present the case of a 73-year-old female with a previous history of pulmonary tuberculosis, who reported to our hospital with progressive abdominal distension associated with early satiety, bipedal swelling, generalized weakness, worsening fatigue, and weight loss.
View Article and Find Full Text PDFRadiol Case Rep
September 2024
Department of Colorectal Surgery, Northern Hospital Epping, Melbourne, Victoria, 3076, Australia.
Retrosplenic colonic interposition is a rare anatomical variant which involves an aberrant positioning of the colon between the spleen and the left hemidiaphragm. Cross-sectional imaging, particularly preoperative computed tomography, plays a critical role in identifying this variant. Recognition of a retrosplenic colonic interposition is essential in certain surgical procedures for ensuring appropriate management tailored to individual patient anatomy and minimizing complications.
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