scholarly journals Chilaiditi's sign and syndrome: Theoretical facts and a case report

2016 ◽  
Vol 73 (3) ◽  
pp. 277-279 ◽  
Author(s):  
Biljana Zvezdin ◽  
Nevena Savic ◽  
Sanja Hromis ◽  
Violeta Kolarov ◽  
Djordje Tausan ◽  
...  

Introduction. Chilaiditi's syndrome is a rare condition manifested by gastrointestinal symptoms, and radiologically verified by transposition of the large intestine loop. This radiological finding with no manifested symptoms is termed the Chilaiditi's sign. The aim of this case report was to remind the clinicians of the possibility of this rare syndrome, whose symptoms and signs may be misinterpreted and inadequately treated, with consequent diverse complications. Case report. We presented the theoretical facts and a patient in whom the diagnosis of Chilaiditi's syndrome was established incidentally, when hospitalized for an exacerbation of his chronic obstructive pulmonary disease. The Chilaiditi's sign was verified as an incidental finding on chest X-ray performed to evaluate the primary disease. Conclusion. Chilaiditi's syndrome is a benign condition which rarely requires surgery. Its clinical importance lies in adequate differential diagnostic approach and timely management of potentially serious complications.

2001 ◽  
Vol 87 (2) ◽  
pp. 111-112
Author(s):  
Jon Matthews ◽  
Giles W Beck ◽  
Douglas M G Bowley ◽  
Andrew N Kingsnorth

AbstractThe case of a 31 year old male presenting as an emergency with a recurrent colonic volvulus is described. A chest X-ray on admission to hospital showed the presence of hepato-diaphragmatic interposition of the colon, Chilaiditi’s Sign, which is known to be a risk factor for colonic volvulus. This is only the fourth reported case of colonic volvulus in association with Chilaiditi’s Syndrome and the first with recurrent colonic volvulus. The optimal treatment for recurrent volvulus in patients with risk factors such as Chilaiditi’s Syndrome or megacolon is also discussed.


2005 ◽  
Vol 71 (3) ◽  
pp. 261-263 ◽  
Author(s):  
Alan A. Saber ◽  
Michael J. Boros

Demetrius Chilaiditi first described an incidental radiological finding1 of hepatodiaphragmatic interposition of bowel in 1910. The condition could be mistaken for pneumoperitoneum. This radiographic entity, known as Chilaiditi's sign, is found in asymptomatic patients and must be distinguished from Chilaiditi's syndrome, which produces symptomatology associated with the bowel interposition. A review of the literature yielded 27 published cases of Chilaiditi's syndrome. These cases were compiled to evaluate various aspects of this rare but important entity.


2015 ◽  
Vol 1 (1) ◽  
Author(s):  
Motonobu Watanabe ◽  
Osamu Ishibashi ◽  
Muneaki Watanabe ◽  
Tadashi Kondo ◽  
Nobuhiro Ohkohchi

Reports ◽  
2020 ◽  
Vol 3 (2) ◽  
pp. 11
Author(s):  
Jayan George ◽  
Ashleigh V Genever ◽  
Timothy J White

Chilaiditi’s syndrome is a rare and often asymptomatic anomaly, typically found as an incidental radiographic sign (gas under the diaphragm) due to hepato-diaphragmatic interposition of the transverse colon. We report a case of Chilaiditi’s syndrome following colonoscopy presenting with severe abdominal pain, dyspnoea and radiograph findings similar to the presence of bowel perforation (appearance of gas under the hemidiaphragm on erect chest radiograph). Computed tomography (CT) evidence of Chilaiditi’s sign prevented unnecessary laparotomy.


2009 ◽  
Vol 13 (4) ◽  
pp. 94
Author(s):  
Nalini S Perumal ◽  
Mboyo-Di-Tamba H Vangu ◽  
Khushica Purbhoo ◽  
Shireen Dhoodhat

Purpose: Chilaiditi’s syndrome is a rare condition commonly diagnosed as an incidental radiological finding. The aim of this report is to show the role of SPECT-CT in this syndrome and state the functional and anatomical role of this hybrid imaging modality. Materials and Methods: A case report. Results: A 49-year-old female patient was referred for gallium-67 citrate for a possible granulomatous myositis and underwent SPECT-CT of the abdomen to assess the area of decreased gallium uptake on planar images of the liver. The combined SPECT and CT modality demonstrated findings consistent with the clinical evidence of Chilaiditi’s syndrome. The anatomical part of this hybrid modality made it easier to evaluate the area of gallium lack of uptake which was due to air in the colon. Conclusion: This case does not only show the role of SPECT-CT in this syndrome but also suggest that the use of such modality should be considered whenever available in the evaluation of patients in whom the localization of active disease becomes imperative.


2009 ◽  
Vol 2009 (jan08 1) ◽  
pp. bcr2007046417-bcr2007046417
Author(s):  
B Hivert ◽  
S. G Der ◽  
Y E Claessens ◽  
B Randone ◽  
G Afanou ◽  
...  

2008 ◽  
Vol 25 (2) ◽  
pp. 87-87 ◽  
Author(s):  
B Hivert ◽  
G Der Sahakian ◽  
Y E Claessens ◽  
B Randone ◽  
G Afanou ◽  
...  

2020 ◽  
Vol 102 (8) ◽  
pp. e213-e215
Author(s):  
O Barraclough ◽  
G Wilson ◽  
A Power

Synovial chondromatosis is a rare benign condition. It most commonly affects the large joints. Presentation in the temporomandibular joint is rare. Our case was an incidental radiological finding and not diagnosed immediately, highlighting the ease with which conditions such as this can be missed, particularly in asymptomatic patients. Only 45% of patients with synovial chondromatosis show radiographic changes. Findings as significant as ours are unusual. An increased professional awareness of the radiological signs of synovial chondromatosis would be beneficial to improve diagnosis and prognosis for patients.


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