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Psychiatric patient with Chilaiditi's syndrome
P Vasileiadis1, G Mavridis1, A Keramidas1
1Internal medicine department, General Hospital "G.Papanikolaou - Psychiatric Hospital Thessaloniki", Organic Unit of Psychiatric Hospital.
Clinical Schizophrenia & Related Psychoses
|June 27, 2018
Summary
Chilaiditi's syndrome, a rare condition involving bowel interposition, can cause obstruction. Accurate diagnosis is crucial, especially in patients with psychosis, to avoid unnecessary surgery.
Area of Science:
- Gastroenterology
- Radiology
- Psychiatry
Background:
- Chilaiditi's sign is the displacement of bowels between the liver and diaphragm.
- Chilaiditi's syndrome occurs when this sign causes intestinal obstruction.
Purpose of the Study:
- To highlight the significance of correctly diagnosing Chilaiditi's syndrome in individuals with psychotic disorders.
- To emphasize avoiding surgical intervention through accurate diagnosis.
Main Methods:
- A case study of a 46-year-old male with schizophrenia and intellectual disability presenting with abdominal pain and vomiting.
- Diagnostic imaging included X-ray and ultrasound.
- Treatment involved conservative management: IV fluids, pain relief, dietary changes, laxatives, and enemas.
Main Results:
- X-ray confirmed Chilaiditi's sign; ultrasound ruled out pneumoperitoneum.
- The patient's symptoms resolved after a week of conservative treatment.
- Chilaiditi's sign was no longer observed post-treatment.
Conclusions:
- Chilaiditi's syndrome has multifactorial causes, potentially linked to psychotropic medications and intellectual disability.
- Accurate diagnosis is vital to prevent unnecessary surgical procedures.
- Limited literature exists on Chilaiditi's syndrome in patients with psychosis.
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