Case Report

Chilaiditi Syndrome Complicated by Cecal Perforation

Authors: Ibrahim T. Aldoss MD, Jamil Y. Abuzetun MD, Maen Nusair MD, Manar Suker MD, Joann Porter MD

Abstract

Abstract:Chilaiditi sign is a radiological finding which describes the interposition of a part of the bowel between the diaphragm and the liver, a finding that can be misinterpreted as pneumoperitonium. Chilaiditi syndrome refers to a clinically symptomatic patient in the presence of the classical radiographic findings. It is a very rare syndrome which usually follows a benign course. Here we report the first documented case of Chiliaditi syndrome complicated by cecal perforation.

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References

References1. Chilaiditi D. Zur Frage der Hepatoptose und Ptose im allgemeinen im Anschluss an drei Falle von temporarer, patieller Leberverlagerung. Fortschr Geb Rontegenstr Nuklearmed Erganzungsband 1910;16:173–208.ChilaiditiDZur Frage der Hepatoptose und Ptose im allgemeinen im Anschluss an drei Falle von temporarer, patieller Leberverlagerung.Fortschr Geb Rontegenstr Nuklearmed Erganzungsband191016173-2082. Vessal K, Borhanmanesh F. Hepatodiaphragmatic interposition of the intestine (Chilaiditi's syndrome). Clin Radiol 1976;27:113–116.VessalK]]BorhanmaneshFHepatodiaphragmatic interposition of the intestine (Chilaiditi's syndrome).Clin Radiol197627113-1163. Inagaki S, Ebata K. [A roentgenological study of Chilaiditi's syndrome.] Nippon Ika Daigaku Zasshi 1992;4:302–322 [in Japanese].4. Risaliti A, Anna D, Terrosu G, et al. Chilaiditi syndrome as a surgical and nonsurgical problem. Surg Gynecol Obstet 1993;176:55–58.RisalitiA]]AnnaD]]TerrosuG&etal;Chilaiditi syndrome as a surgical and nonsurgical problem.Surg Gynecol Obstet199317655-585. Choussat H, Choussat-Clausse J. Deux cas d'interposition hepatodiaphragmatic du colon avec autopsies. Bulletin et Memoires de la Societe de Radiologie Medicale de France 1937;25:147–154.ChoussatH]]Choussat-ClausseJDeux cas d'interposition hepatodiaphragmatic du colon avec autopsies.Bulletin et Memoires de la Societe de Radiologie Medicale de France193725147-1546. Nakagawa H, Toda N, Taniguchi M, et al. Prevalence and sonographic detection of Chilaiditi's sign in cirrhotic patients without ascites. AJR Am J Roentgenol 2006;187:W589–W593.NakagawaH]]TodaN]]TaniguchiM&etal;Prevalence and sonographic detection of Chilaiditi's sign in cirrhotic patients without ascites.AJR Am J Roentgenol2006187W589-W5937. Torgersen J. Suprahepatic interposition of the colon and volvulus of the cecum. Am J Roentgenol Radium Ther 1951;66:747–751.TorgersenJSuprahepatic interposition of the colon and volvulus of the cecum.Am J Roentgenol Radium Ther195166747-7518. Kurt Y, Demirbas S, Bilgin G, et al. Colonic volvulus associated with Chilaiditi's syndrome: report of a case. Surg Today 2004;34:613–615.KurtY]]DemirbasS]]BilginG&etal;Colonic volvulus associated with Chilaiditi's syndrome: report of a case.Surg Today200434613-6159. Chan SC, Law S, Chu KM. Iatrogenic Chilaiditi's syndrome. Gastrointest Endosc 2002;56:447–449.ChanSC]]LawS]]ChuKMIatrogenic Chilaiditi's syndrome.Gastrointest Endosc200256447-44910. Saber AA, Boros MJ. Chilaiditi's syndrome: what should every surgeon know? Am Surg 2005;71:261–263.SaberAA]]BorosMJChilaiditi's syndrome: what should every surgeon know?Am Surg200571261-26311. Altomare DF, Rinaldi M, Petrolino M, et al. Chilaiditi's syndrome. Successful surgical correction by colopexy. Tech Coloproctol 2001;5:173–175.AltomareDF]]RinaldiM]]PetrolinoM&etal;Chilaiditi's syndrome. Successful surgical correction by colopexy.Tech Coloproctol20015173-175