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Chilaiditi Syndrome Masquerading as Acute Cholecystitis
Bibek Saha1, Anjul Verma2, Nayantara Coelho-Prabhu2
1Department of Internal Medicine, Mayo Clinic, Rochester, MN.
ACG Case Reports Journal
|July 22, 2024
Summary
Chilaiditi syndrome (CS) is a rare condition where the intestine is between the diaphragm and liver. This case highlights CS with ileal involvement and small bowel obstruction, managed conservatively, emphasizing accurate diagnosis to avoid unnecessary surgery.
Area of Science:
- Gastroenterology and Radiology
Background:
- Chilaiditi sign is a radiological finding of intestinal interposition between the diaphragm and liver.
- Chilaiditi syndrome (CS) presents with gastrointestinal symptoms alongside the sign, posing clinical significance due to potential complications.
Observation:
- This report details a rare instance of CS involving the ileum, leading to small bowel obstruction.
- The condition was successfully managed conservatively, avoiding surgical intervention.
Findings:
- The case underscores that CS can manifest with small bowel involvement, not exclusively the large intestine.
- Conservative management can be effective for CS-induced small bowel obstruction.
Implications:
- Accurate recognition of Chilaiditi sign and CS is crucial for appropriate patient management.
- Physician awareness is vital to prevent misdiagnosis and unnecessary surgical procedures for this rare condition.
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