Chilaiditi sign and syndrome are uncommon conditions and often misdiagnosed. They are clinically significant, however, because they can result in a range of complications, including bowel volvulus, perforation and obstruction. When patients are symptomatic, treatment is usually conservative and surgery is rarely indicated unless there is a suspicion of ischaemia, or if conservative management does not resolve other signs and symptoms. This article describes Chilaiditi sign and syndrome, and presents four case studies to illustrate the relevant signs and symptoms.
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Chilaiditi Sign and Syndrome as a Finding in the Emergency Room: A Case Report.
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 PDFA 47-year-old woman, a diagnosed case of syndrome of inappropriate secretion of antidiuretic hormone, underwent 18F-FDG PET/CT to detect occult malignancy for suspected paraneoplastic etiology. Abnormal FDG uptake was noted in the right lower chest region, which was correlated on corresponding CT images to be colonic activity interposed between the liver and elevated diaphragm, also known as Chilaiditi sign. Even though rare, Chilaiditi sign should be considered as a differential diagnosis of hypermetabolic activity in the right lower chest region on 18F-FDG PET/CT scan that is done to look for occult tumor as shown in this case.
View Article and Find Full Text PDFChilaiditi Sign: Involvement of the Large and Small Intestines?
ACG Case Rep J
December 2024
Department of Medicine, NSU Medical School, Kiran C. Patel College of Allopathic Medicine, Fort Lauderdale, FL.
A case report of Chilaiditi syndrome presenting with a small bowel obstruction in an elderly Ethiopian man: A potential case for a misdiagnosis.
Int 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.
Congenital partial diaphragmatic eventration presenting with Chilaiditi's sign: a case report.
J Med Case Rep
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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.
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