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Cholera is an acute gastrointestinal disease caused by the Gram-negative bacterium Vibrio cholerae. It is transmitted primarily via the fecal-oral route through the ingestion of contaminated water or food.Vibrio cholerae is a motile, Gram-negative bacterium of the family Vibrionaceae, primarily associated with waterborne outbreaks in areas with inadequate sanitation. Although over 200 serogroups of V. cholerae exist, only O1 and O139 are responsible for epidemic cholera. The O1 serogroup,...
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Chilaiditi's syndrome in children.

Wen-Chin Huang1, Ching-Shen Teng, Min-Hua Tseng

  • 1Department of Pediatrics, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.

Acta Paediatrica Taiwanica = Taiwan Er Ke Yi Xue Hui Za Zhi
|July 14, 2007
PubMed
Summary

Chilaiditi's syndrome (CS) is a rare condition where the colon is positioned between the liver and diaphragm. This study found CS is benign with good outcomes, often managed conservatively, but surgery may be needed for recurrent symptoms.

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Area of Science:

  • Pediatric Gastroenterology
  • Radiology
  • Abdominal Surgery

Background:

  • Chilaiditi's syndrome (CS) is a rare condition characterized by symptomatic colonic interposition between the liver and diaphragm.
  • Radiological evidence is key for diagnosis, though the syndrome is infrequently encountered.

Purpose of the Study:

  • To review patients diagnosed with Chilaiditi's syndrome over a 15-year period.
  • To analyze predisposing factors, clinical manifestations, and outcomes of CS in pediatric patients.

Main Methods:

  • Retrospective review of 3 patients with CS and 10 literature case reports.
  • Diagnosis confirmed via abdominal computed tomography or chest and abdominal roentgenograms.

Main Results:

  • Thirteen pediatric patients (6 months to 11 years) were studied.
  • Common predisposing factors included aerophagia, diaphragmatic eventration, constipation, and blunt trauma.
  • Abdominal pain, vomiting, and distension were frequent symptoms; conservative management was successful in most cases, with surgery reserved for recurrent symptoms.

Conclusions:

  • Chilaiditi's syndrome is a clinically and radiologically benign condition with a favorable prognosis.
  • Conservative treatment is the primary approach, with surgical correction indicated for persistent or recurrent symptoms.
  • Consider CS in children with respiratory distress, abdominal pain, or distension, especially with identified predisposing factors.