TY - JOUR T1 - Tekrarlayan Solunum Sıkıntısı Atakları ile Başvuran Bir Chilaiditi Sendromu TT - A Case with Recurrent Respiratory Distress: Chilaiditi Syndrome AU - Bulut, Yasin AU - Yılmaz, Nuh AU - Memur, Şeyma AU - Altınöz, Serdar AU - Öztürk, Aysel PY - 2008 DA - October JF - Çocuk Dergisi PB - Istanbul University WT - DergiPark SN - 1308-8491 SP - 243 EP - 246 VL - 8 IS - 4 LA - tr AB - Chilaiditi Sendromu ilk kez 1910 yılında Demetrius Chilaiditi tarafından radyolojik olarak karaciğer ile diyaf- ragma arasına kolonun girmesiyle karakterize bir durum olarak tanımlanmıştır. Genelde hastalar asemptomatik olup bazı hastalarda gastrointestinal ve solunumsal belir- tilerle birlikte bulunabilir. Öyküsünde, yineleyen solunum sıkıntısı yakınmaları bulunan 5 yaşında kız hasta hastane- ye yatırıldı. Çekilen akciğer grafisinde dilate kalın barsa- ğın alttan basısı sonucu sağ diyafragmanın yükselmiş olduğu gözlendi. Sonuç olarak yineleyen solunum sıkıntısı tanımlayan çocukluk yaş grubundaki hastalarda bile Chilaiditi sendromunun akılda bulundurulması gerekir KW - Çocuk KW - chilaiditi sendromu KW - tekrarlayan solunum sıkıntısı N2 - Chilaiditi syndrome was first described in 1910 by Demetrius Chilaiditi as a radiological evidence of colonic interposition between the liver and diaphragm. In general, patients are asymptomatic, but some have gastrointestinal and respiratory symptoms. A 5-years old female patient was admitted to the hospital with a history of recurrent respiratory distress. The chest x-ray revealed an elevation of the right hemidiaphragma caused by the presence of a dilated colonic loop below. This rare syndrome should be kept in mind even in pediatric patients with recurrent res- piratory distress CR - 1. Haddad CJ, Lacle J. Chilaiditi’s syndrome. A diagnostic challenge. Postgrad Med 1991; 89:249-50. CR - 2. Fisher AA, Davis MW. Self assessment answer: an elderly man with chest pain, shortness of breath, and constipation. Postgrad Med 2003; 79:183-4. CR - 3. Walsh SD, Cruikshank JG. Chilaiditi syndrome. Age Ageing 1977; 6:51-7. CR - 4. Vessal K, Borhanmanesh F. Hepatodiaphragmatic interposition of the intestine (Chilaiditi’s syndrome). Clin Radiol 1976; 27:113-6. CR - 5. Lekkas CN, Lentino W. Symptom-producing interposition of the colon. Clinical syndrome in mentally deficient adults. JAMA 1978; 240:747-50. CR - 6. Oubenaissa A, Perrault LP, Ridoux G. Hepatodiaphragmatic interposition of the colon-an unusual case of combined anterior and posterior types treated with an original operative technique: report of a case. Dis Colon Rectum 1999; 42:278-80. CR - 7. Karaman C, Özek T, Urhan MK, et al. Agenesis of the right lobe of the liver. Case report. Acta Radiologica 1997; 38:428- 30. CR - 8. Orangio GR, Fazio VW, Winkelman E. The Chilaiditi syndrome and associated volvulus of the transverse colon: an indication for surgical therapy. Dis Colon Rectum 1986; 29:653-6. CR - 9. Bhattacharya PC, Bhattacharya AK, Dutta S, et al. Chilaiditi syndrome with ascites. JAPL 2002; 50:860-1. CR - 10. Matsuo T, Kotsubo D, Ichiki S, et al. Chilaiditi’s syndrome in schizophrenic patients. The Japanese Journal of Psychiatry and Neurology 1987; 41:71-75. CR - 11. Isbister WH, Bellamy P. Hepato-diaphragmatic interposition of the intestine (Chilaiditi’s syndrome): A case report. Aust N Z J Surg 1991; 61:462-4. CR - 12. Koşar A, Tezel Ç, Örki A, Kıral H, Ürek Ş, Dudu C. Hepatodiyafragmatik interpozisyon: Chilaiditi sendromu: hasta sunumu. Göğüs Hastanesi Dergisi, 2004; 18:133-5. CR - 13. Fukuchi Y, Hirano A, Aoki T. Rare case of internal hernia with a new type of hepatodiaphragmatic interposition of the stomach and colon. Am J Gastroenterol 1989; 84:1322-4. CR - 14. Risaliti A, Anna DD, Terrosu G, et al. Chilaiditi’s syndrome as a surgical and nonsurgical problem. Surgery 1993; 176:55-8. CR - 15. Kaymakçıoğlu N, Yakut M, Tan A, et al. Hypoganglionic megacolon associated Chilaiditi’s syndrome treated by subtotal colectomy: a case report. Int Surg 2000; 85:48-50. CR - 16. Melester T, Burt ME. Chilaiditi’s syndrome. Report of three cases. JAMA 1985; 254:944-5. UR - https://dergipark.org.tr/en/pub/jchild/issue//805509 L1 - https://dergipark.org.tr/en/download/article-file/1328687 ER -