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Chilaiditi syndrome as a cause of respiratory distress

Sevgi Keles1, Hasibe Artac, Ismail Reisli

  • 1Department of Pediatrics, Selcuk University Meram Medical Faculty, Konya, Turkey. drsevgikeles@yahoo.com

European Journal of Pediatrics
|February 21, 2006
PubMed

Insights

Chilaiditi syndrome, a rare condition where the colon is between the diaphragm and liver, can cause respiratory distress in infants. Early diagnosis and conservative treatment are key for managing this congenital anomaly.

Area of Science:

  • Pediatric Gastroenterology
  • Congenital Anomalies
  • Radiology

Background:

  • Chilaiditi syndrome is a rare congenital anomaly characterized by the interposition of the colon between the diaphragm and the liver.
  • While often asymptomatic, it can present with gastrointestinal and respiratory symptoms.

Observation:

  • A 5-month-old infant boy presented with persistent cough, cyanosis, and recurrent respiratory distress over two months.
  • Radiological imaging, including chest X-ray and CT scan, revealed a dilated colonic loop causing hepatodiaphragmatic interposition, consistent with Chilaiditi syndrome.

Findings:

  • The infant's respiratory distress was attributed to the anatomical abnormality of Chilaiditi syndrome.
  • Conservative management, including oxygen, fluid supplementation, and stool softeners, was initiated.

Implications:

  • This case highlights the importance of considering Chilaiditi syndrome in pediatric patients with unexplained recurrent respiratory distress.
  • Early recognition and appropriate management are crucial for improving outcomes in affected infants.

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