Abstract
65 yaşında erkek olgu, kabızlık, göğüs ağrısı ve nefes darlığı semptomları ile kliniğimize başvurdu. Çekilen akciğer grafisinde sağ diyafragmanın yükseldiği ve hemen altında seviyelenmeler izlendiği görüldü. Bilgisayarlı toraks tomografisinde sağ diyafragma altında karaciğer üzerinde kolona ait haustrasyonlar görüldü. MRI incelemesinde diyafragmanın intakt olduğu saptanan olguya "Chilaiditi sendromu" tanısı konuldu. Laparatomi ile kolon serbestleştirildi. Gevşek olan diyafragmaya plikasyon uygulandı ve posteriora yer değiştirmiş olan karaciğer anatomik pozisyonuna getirildi. Postoperatif dönemde semptomları düzelen olgu 16 aydır izlenmekte olup, radyolojik olarak nüks saptanmamıştır.
Keywords
References
- 1. Haddad CJ, Lacle J. Chilaiditi’s syndrome. A diagnostic challenge. Postgrad Med 1991; 89: 249-50.
- 2. Self assessment answer: an elderly man with chest pain, shortness of breath, and constipation. Postgrad Med 2003; 79: 183-4.
- 3. Walsh SD, Cruikshank JG. Chilaiditi syndrome. Age Ageing 1977; 6: 51-7.
- 4. Vessal K, Borhanmanesh F. Hepatodiaphrgamatic interposition of the intestine (Chilaiditi’s syndrome). Clin Radiol 1976; 27: 113-6.
- 5. Melester T, Burt ME. Chilaiditi’s syndrome. Report of three cases. JAMA 1985; 254: 944-5.
- 6. Lekkas CN, Lentino W. Symptom-producing interposition of the colon. Clinical syndrome in mentally deficient adults. JAMA 1978; 240: 747-50.
- 7. 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.
Abstract
A 65 years old man with chronic constipation, chest pain and short of breath was admitted to our hospital. Elevation of the right hemidiaphragm was noticed on his Chest X-ray. Thorax computed tomography depicted haustrations between the right hemidiaphragm and the liver. MRI confirmed the intact hemidiaphragm. Therefore the patient diagnosed as a "Chilaiditi syndrome" by radiological. Laparotomy was performed. Colon was released from the adhesions and repositioned. Lose diaphragm was plicated and the liver was repositioned to its anatomic location. Postoperative period was uneventful and the patient was discharged. The patient has been on follow-up in 16 months without any radiological recurrence.
Keywords
References
- 1. Haddad CJ, Lacle J. Chilaiditi’s syndrome. A diagnostic challenge. Postgrad Med 1991; 89: 249-50.
- 2. Self assessment answer: an elderly man with chest pain, shortness of breath, and constipation. Postgrad Med 2003; 79: 183-4.
- 3. Walsh SD, Cruikshank JG. Chilaiditi syndrome. Age Ageing 1977; 6: 51-7.
- 4. Vessal K, Borhanmanesh F. Hepatodiaphrgamatic interposition of the intestine (Chilaiditi’s syndrome). Clin Radiol 1976; 27: 113-6.
- 5. Melester T, Burt ME. Chilaiditi’s syndrome. Report of three cases. JAMA 1985; 254: 944-5.
- 6. Lekkas CN, Lentino W. Symptom-producing interposition of the colon. Clinical syndrome in mentally deficient adults. JAMA 1978; 240: 747-50.
- 7. 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.
Details
| Other ID | JA67SN55MA |
|---|---|
| Journal Section | Case Report |
| Authors | |
| Publication Date | December 1, 2004 |
| Published in Issue | Year 2004 Volume: 18 Issue: 3 |