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Chilaiditi Syndrome in Two Cases Presented with Respiratory Distress Symptoms

Semiha Bahçeci Erdem1, Hikmet Tekin Nacaroğlu1, Canan Şule Ünsal Karkıner1

  • 1Clinic of Pediatric Allergy and Immunology, Dr. Behçet Uz Pediatric Health and Diseases Hospital, İzmir, Turkey.

Turkish Thoracic Journal
|February 7, 2018
PubMed

Insights

Chilaiditi syndrome, a rare hepatodiaphragmatic interposition of the bowel, is usually asymptomatic. This report details two pediatric cases presenting with respiratory distress, highlighting an unusual presentation of this rare condition in children.

Area of Science:

  • Pediatric Gastroenterology
  • Radiology
  • Thoracic Medicine

Background:

  • Chilaiditi syndrome is a rare condition characterized by the hepatodiaphragmatic interposition of the colon or small intestine.
  • It is typically asymptomatic and incidentally discovered in adults.
  • Diagnosis in children is uncommon, and presentation with symptoms is rare.

Purpose of the Study:

  • To report two pediatric cases of Chilaiditi syndrome.
  • To highlight an unusual symptomatic presentation in children.
  • To emphasize the role of chest radiography in diagnosis.

Main Methods:

  • Case report of two pediatric patients.
  • Diagnostic imaging using chest radiography.

Main Results:

  • Two children presented with respiratory distress.
  • Chest radiography confirmed Chilaiditi syndrome in both cases.
  • This presentation is atypical for the typically asymptomatic condition.

Conclusions:

  • Chilaiditi syndrome can present with respiratory distress in children, although rare.
  • Chest radiography is a key diagnostic tool.
  • This case series expands the understanding of pediatric Chilaiditi syndrome presentations.

Keywords:
Chilaiditi syndromechildrespiratory distress

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