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Interstitial Lung Disease with Chilaiditi Syndrome
Kranti Garg1, Prasanta Raghab Mohapatra2, Deepak Aggarwal3
1Assistant Professor, Department of Pulmonary Medicine, D block, Level 5, Government Medical College and Hospital , Chandigarh, India .
Journal of Clinical and Diagnostic Research : JCDR
|February 18, 2017
Summary
Chilaiditi sign, a rare condition where the colon is found between the diaphragm and liver, can present with respiratory symptoms. This case highlights the diagnostic challenge of differentiating symptoms caused by Chilaiditi syndrome from underlying lung conditions like Interstitial Lung Disease.
Area of Science:
- Gastroenterology
- Pulmonology
- Radiology
Background:
- Chilaiditi sign is a radiographic finding of colonic interposition between the diaphragm and liver.
- Chilaiditi syndrome refers to symptomatic presentation of Chilaiditi sign, which can include respiratory symptoms.
- Differentiating symptoms in Chilaiditi syndrome can be challenging, especially when concurrent lung pathology is present.
Observation:
- A male patient presented with respiratory symptoms and was found to have Chilaiditi sign on chest radiograph.
- Further investigations revealed the presence of Interstitial Lung Disease (ILD) in the same patient.
- The patient's respiratory symptoms showed only partial improvement with ILD management.
Findings:
- This case underscores the diagnostic complexity when Chilaiditi sign coexists with lung disease.
- The partial response to ILD treatment raises questions about the contribution of Chilaiditi syndrome to the symptomatology.
- It highlights the importance of considering Chilaiditi sign in the differential diagnosis of respiratory complaints.
Implications:
- Clinicians must consider both Chilaiditi syndrome and underlying lung pathology in patients with overlapping symptoms.
- Further investigation is crucial to ascertain the primary cause of respiratory symptoms in such complex cases.
- This case emphasizes the need for a comprehensive diagnostic approach in patients with incidental radiographic findings and significant clinical presentation.
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