Chiliaditi Syndrome; For One Case

Year 2017, Volume: 5 Issue: 3, 26 - 28, 03.03.2017

Uzm. Dr. Suat Konuk

Abstract

Abstract

Chiliaditi syndrome is a rare syndrome, which is generally asymptomatic. This syndrome is interposition of the colon only or with the small intestine in hepatodiaphragmatic area.Generally it may be without symptoms, but sometimes, there may be the typical symptoms such as a abdominal pain, nause, vomiting and constipation; however, atypical symptoms such as dyspnea and chest pain may also exist. Altough the diagnosisof COPD were not verified by the physical examinations, 57 years old, male patient having the concordant clinical findings for COPD and treated as COPD was presented dueto the rare clinical characters and laboratory findings of Chiliaditi syndrome.

Keywords

Chiliaditi syndrome, COPD, raresyndrome

Chiliaditi Sendromu; Bir Olgu Nedeniyle

Abstract

Öz

Chiliaditi sendromu nadir görülen bir durum olup genellikle asemptomatiktir. Kolonun tek başına veya ince barsaklarla birlikte karaciğer ile diafragma arasına sıkışması sonucu oluşur. Asemptomatik olabileceği gibi bazen karın ağrısı, bulantı, kusma vekabızlık gibi tipik semptomların yanı sıra; nefes darlığı ve göğüs ağrısı gibi atipik şikayetlere de neden olabilir.  Fizik muayene incelemeleri  KOAH tanısını doğrulamamasına rağmen, klinik ve laboratuvar bulgularının KOAH’la uyumlu olması nedeniyle KOAHgibi tedavi alan, 57 yaşındaki erkek hasta Chiliaditi sendromunun nadiren rastlanılır klinik özellikleri nedeniyle sunuldu.

Keywords

Chiliaditi sendromu, KOAH, nadirsendrom

References

• Kaynaklar 1.Chan SC, Law S, Chu KM. Iatrogenic Chilaiditi’s syndrome. Gas-trointest Endosc 2002;56:447-9. 2.Pediatric Radiology. In: Morgulis AR, Burhenne HJ editors. Alimen-tary Tract Radiology, 4 th ed. Toronto 1989; 1717-57. 3.Karaman C, Özek T, Urhan MK et al. Agenesis of the right lobe ofthe liver. Case report. Acta Radiologica 1997; 38: 428-30. 4.Orangio GR, Fazio VW, Winkelman E. The Chiliaditi syndrome andassociated volvulus of the transverse colon: an indication for sur-gical therapy. Dis Colon Rectum 1986; 29: 653-6. 5.Bhattacharya PC, Bhattacharya AK, Dutta S et al. Chiliaditisyndrome with ascites. JAPL 2002; 50: 860-1. 6.Matsuo T, Kotsubo D, Ichiki S et al. Chiliaditi’s syndrome in schi-zophrenic patients. The Japanese Journal of Psychiatry and Neuro-logy 1987; 41:71-5. 7.Dogu F, Reisli İ, İkincioğulları A, Fitöz S, Babacan E. Unusual cau-se of respiratory distress:Chiliaditi syndrome. Pediatr Int 2004; 46:188- 190. 8.Risaliti A, Anna DD, Terrosu G et al. Chiliaditi’s syndrome as a sur-gical and nonsurgical problem. Surgery 1993; 176: 55-8. 9.Fukuchi Y, Hirano A, Aoki T. Rare case of internal hernia with a newtype of hepatodiapragmatic interposition of the stomach and colon.Am J Gastroenterol 1989; 84: 1322-4. 10.Kayaçetin E, Gök M, Karaaslan H. Chiliaditi sendromu olgu su-numu. Akademik Gastroenteroloji Dergisi 2004; 3: 110-1. 11.Kaymakçıoğlu N, Yakut M, TanA, et al. Hypoganglionic megacolonassociated Chiliaditi’s syndrome treated by subtotal colectomy: a casereport. Int Surg 2000; 85: 48-50. 12.Bishop CC, Whitenhead SM, Jackson BT. Misdiagnosis of the Chi-liaditi syndrome. Br Med J 1987;295 (6613):1655 13.Ferguson HR, An elderly man with chest pain,shortness of breath andconstipation Postgrad Med. 2003;79: 183-4.