Chilaiditi Syndrome in a child patient: a case report

Abstract

Chilaiditi syndrome is a rare disease which is characterized by recurrent abdominal pain, respiratory distress, constipation, and vomiting. It is usually asymptomatic, and the anomaly is diagnosed incidentally on chest or abdominal radiographs. The radiographs show interposed segment of colon or small bowel between the right lobe of the liver and the diaphragm. Treatment is not required for asymptomatic cases. In symptomatic patients, the initial treatment is conservative. Surgical treatment is performed in patients with obstruction, colonic volvulus or perforation. Beeing a rare syndrome in pediatric patients, we aimed to present an 8 year old female patient diagnosed as Chilaiditi syndrome, who has chronic abdominal pain, vomiting, and cough.

Key words: Chilaiditi syndrome, children, abdominal pain, colopexy

Keywords

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Bir çocuk hastada Chilaiditi Sendromu: vaka sunumu

Abstract

Chilaiditi sendromu tekrarlayan karın ağrısı, solunum sıkıntısı, kabızlık ve kusma ile karakterize, nadir görülen bir hastalıktır. Genelde asemptomatik olarak görülür ve tesadüfen çekilen karın veya akciğer grafileri ile teşhis konur. Grafilerde karaciğer sağ lobu ile diyafram arasına kolon veya ince barsak segmentinin interpoze olduğu görülür. Asemptomatik olgularda tedaviye gerek yoktur. Semptomatik hastalarda ise ilk tedavi konservatiftir. Obstrüksiyon, kolonik volvulus veya perforasyon saptanan hastalarda ise cerrahi tedavi yapılmalıdır. Özellikle çocuk hastalarda nadir görülen bir sendrom olması nedeniyle kronik karın ağrısı, kusma ve karında şişlik ve öksürük şikayeti ile getirilen ve Chilaiditi sendromu tanısı koyduğumuz 8 yaşında kız hastayı sunmayı amaçladık.

Anahtar kelimeler: Chilaiditi sendromu, çocuklar, karın ağrısı, kolopeksi.

Keywords

• Chilaiditi sendromu, çocuklar, karın ağrısı, kolopeksi

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