Chilaiditi's syndrome complicated by colon perforation: a case report
Turan Acar1, Erdinç Kamer2, Nihan Acar2
1Department of Surgery, İzmir Katip Çelebi University Atatürk Training and Research Hospital, İzmir, Turkey. drturanacar1982@gmail.com.
Summary
Chilaiditi syndrome, a rare condition where the colon or small intestine repositions above the diaphragm, can cause severe symptoms like intestinal obstruction. This case highlights the importance of recognizing this rare syndrome in emergency surgical evaluations.
Area of Science:
- Gastroenterology
- Radiology
- Abdominal Surgery
Background:
- Chilaiditi syndrome is a rare condition characterized by hepatodiaphragmatic interposition of the intestine.
- It is often asymptomatic but can present with symptoms mimicking acute abdominal pathology.
Observation:
- A 54-year-old male presented with abdominal pain, nausea, and vomiting.
- Radiological imaging revealed a dilated colonic loop beneath the right hemidiaphragm, suggestive of Chilaiditi syndrome.
Findings:
- The patient experienced intestinal obstruction secondary to Chilaiditi syndrome.
- Urgent surgical intervention, including right hemicolectomy and ileocolic anastomosis, was performed.
Implications:
- This case underscores the importance of considering rare diagnoses like Chilaiditi syndrome in patients with obstructive symptoms.
- Accurate radiological interpretation is crucial for appropriate management and avoiding unnecessary interventions.
