The Chilaiditi syndrome is when the radiologic Chilaiditi sign, defined by the interpositioning of the colon between the liver and diaphragm, becomes complicated by clinical symptoms such as respiratory insufficiency or bowel obstruction. We present the case of a 70-year-old male with a history of depression, anxiety, gastroesophageal reflux disease (GERD), and post-polio syndrome, who presented with left shoulder pain, chronic weakness, and dizziness. Initial evaluation revealed hypotension and elevated lactic acid, attributed to dehydration. Further imaging identified a Chilaiditi sign, thus raising suspicion of small bowel obstruction and the Chilaiditi syndrome. Despite conservative management, the patient continued to experience elevated lactic acid levels, prompting a computed tomography (CT) angiogram to rule out bowel ischemia. No acute intra-abdominal pathology was identified, and the patient improved with hydration and bowel rest. This case highlights the challenges in diagnosing and managing the Chilaiditi syndrome in the setting of chronic comorbidities.
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http://dx.doi.org/10.7759/cureus.57483 | DOI Listing |
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.
J Med Case Rep
October 2024
Dept. of General Surgery, Anadolu Medical Center, Kocaeli, Turkey.
Clin 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 PDFEmergencias
June 2024
Servicio de Cardiología, Hospital de Tortosa Verge de la Cinta, IISPV, Tortosa, Tarragona, España.
Gastro Hep Adv
August 2023
Department of Gastroenterology, University of Oklahoma Health Science Center, Oklahoma city, Oklahoma.
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