Chilaiditi Syndrome in a child patient: a case report

Öz

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

Anahtar Kelimeler

• -

Bir çocuk hastada Chilaiditi Sendromu: vaka sunumu

Öz

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.

Anahtar Kelimeler

• Chilaiditi sendromu, çocuklar, karın ağrısı, kolopeksi

Kaynakça

1. Chilaiditi D. Zur frage der hepatoptose und ptose im allgemeinen im anschluss an drei fälle von temporärer, partieller leberverlagerung. Fortschritte auf dem Gebiete der Röntgenstrahlen. 1910; 16: 173-208.
2. Moaven O, Richard A. Hodin R.A. Chilaiditi syndrome: a rare entity with important differential diagnoses. Gastroenterology and Hepatology 2012; 8. 276-8.
3. Plorde JJ, Raker EJ. Transverse colon volvulus and associated Chilaiditi’s syndrome:case report and literature review. Am J Gastroenterol 1996; 91: 2613-6.
4. Çağlayan K, Doğan H, Çelik A. Chiliaditi Sendromu: iki olgu sunumu. Bakırköy Tıp Dergisi, 2010; 6: 78-80.
5. Orangio GR, Fazio VW, Winkelman E, Mc Gonagle BA. The Chilaiditi syndrome and associated volvulus of the transverse colon: an indication for surgical therapy.Dis Colon Rectum 1986; 29: 653-6.
6. Blevins WA, Cafasso DE, Fernandez M, Edwards MJ. Minimally invasive colopexy for pediatric Chilaiditi syndrome. J Ped Surg 2011; 46; e33–e35.
7. Lekkas CN, Lentino W. Symptom-producing interposition of the colon. Clinical syndrome in mentally deficient adults. JAMA. 1978; 240: 747-50.
8. Sato M, Ishida H, Konno K, et al. Chilaiditi syndrome: sonographic findings.Abdom Imaging. 2000; 25: 397-9.

9. Antonacci N, Di Saverio S, Biscardi A, Giorgini E, Villani S, Tugnoli G. Dyspnea and large bowel obstruction: a misleading Chilaiditi syndrome. Am J Surg.2011; 202: e45-e47.
10. Mateo de Acosta Andino DA, Aberle CM, Ragauskaite L, et al. Chilaiditi syndrome complicated by a closed-loop small bowel obstruction. Gastroenterol Hepatol (NY) 2012; 8: 274-6.
11. Suárez-Grau JM, Cháves CR, Bernal FL, Ciuró FP. Colonic pseudo-colonic obstruction (Ogilvie syndrome) in a patient with Chilaiditi syndrome. Cir Esp 2011; 89: e2.
12. Melester T, Burt ME. Chilaiditi’s syndrome. Report of three cases. JAMA 1985; 254: 944-5.
13. Yagnik VD. Chilaiditi syndrome with carcinoma rectum: rare entity. Saudi J Gastroenterol 2011; 17: 85-6.
14. Sendon JL. Primary lung cancer and the Chilaiditi syndrome. Chest 1975; 67: 130.
15. Kamiyoshihara M, Ibe T, Takeyoshi I. Chilaiditi’s sign mimicking a traumatic diaphragmatic hernia. Ann Thorac Surg 2009; 87: 959-61.
16. Schneidau A, Baron HJ, Rosin RD. Morgagni revisited: a case of intermittent chest pain. Br J Radiol 1982; 55: 238-40.
17. Vallee PA. Symptomatic morgagni hernia misdiagnosed as Chilaiditi syndrome. West J Emerg Med 2011; 12: 121-3.