Chilaiditi Sendromu: Nadir Görülen Bir Olgu

Öz

Chilaiditi sendromu düz plan radyografilerde kolonun hepatodiyaframatik interpozisyonu kaynaklı, karaciğer ve diyafram arasındaki gaz görüntüsü ile karakterize bir hastalıktır. Chilaiditi sendromunun spesifik semptomları ve prezentasyonu kişiden kişiye büyük ölçüde değişebilmektedir. Bu sendrom sıklıkla asemptomatik olmakla beraber semptomatik hastalarda gastrointestinal sistem yakınmaları ön plana çıkar. Hastalık selim seyreden bir durum olup klinik seyirde nadiren de olsa volvulus, intestinal yapışıklıklar ve obstruksiyon gibi ciddi komplikasyonlar gelişebilir. Tanı konulan hastalarda tedavideki genel yaklaşım konservatif tedavidir. Burada anemi semptomları ile başvuran ve rastlantısal olarak tanı konulan Chilaiditi sendromlu bir olgu sunuldu.

Anahtar Kelimeler

• Chilaiditi sendromu,subdiyafragmatik gaz,anemi

Chilaiditi Syndrome: A Rare Case Report

Öz

Chilaiditi sign is the presence of gas image between liver and diaphragm in plain radiographs as th hepato-diaphragmatic interposition of the colon. The specific symptoms and presentation of Chilaiditi’s syndrome can vary greatly from one person to another. Although this syndrome is frequently asymptomatic, gastrointestinal system symptoms are prominent in symptomatic patients. The disease is a benign constellation and rareyl, serious complications such as volvulus, intestinal adhesions and obstruction may develop in the clinical course. The general approach in the treatment of patients diagnosed is conservative. In this article, we present a case of Chilaiditi syndrome who presented with anemia symptoms and was diagnosed incidentally.

Anahtar Kelimeler

• Chilaiditi syndrome,subdiaphragmatic gas,anemia

Kaynakça

1. 1.Chilaiditi D. Question of Hepatoptosis in General Following a Three Case of Temporary, Partial Displacement. Continued Geb Rontgenstr Nuklearmed Erganzongsband 1911; 16: 173–208.
2. 2.Omeed M, Richard AH. Chilaiditi syndrome: A rare entity with important 3. differential diagnoses. Gastroenterol Hepatol 2012; 8: 276–8.
3. 3.Lekkas CN, Lentino W. Symptom-producing interposition of the colon. Clinical syndrome in mentally deficient adults. JAMA 1978; 240:747-50.
4. 4.Karaman C ve ark. Agenesis of the right lobe of the liver. Case report. Acta Radiologica 1997; 38:428- 30.
5. 5.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.
6. 6.Bhattacharya PC ve ark. Chilaiditi syndrome with ascites. JAPL 2002; 50:860-1.
7. 7.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.
8. 8.Risaliti A ve ark. Chilaiditi’s syndrome as a surgical and nonsurgical problem. Surgery 1993; 176:55-8.