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Chilaiditi's syndrome as a surgical and nonsurgical problem
A Risaliti1, D De Anna, G Terrosu
1Department of Surgery, University Medical Center of Udine, Italy.
Surgery, Gynecology & Obstetrics
|January 1, 1993
Summary
Chilaiditi's syndrome, a rare intestinal anomaly, can cause serious abdominal issues. This study highlights its potential complications and diagnostic methods, including imaging and surgery.
Area of Science:
- Gastroenterology
- Surgical Anatomy
- Diagnostic Imaging
Background:
- Hepatodiaphragmatic interposition of the intestine (Chilaiditi's syndrome) is a rare congenital anomaly.
- Historically considered clinically insignificant, recent evidence suggests it can precipitate acute abdominal conditions.
Purpose of the Study:
- To review cases of Chilaiditi's syndrome and analyze its clinical significance.
- To evaluate diagnostic modalities and management strategies for this rare condition.
Main Methods:
- Retrospective analysis of patient records since 1976.
- Review of diagnostic imaging (plain roentgenograms, barium meal) and intraoperative findings.
- Assessment of surgical and medical management outcomes.
Main Results:
- Four cases of Chilaiditi's syndrome were identified, involving transverse colon or small intestine interposition.
- Plain chest roentgenograms were diagnostic in three cases; barium meal aided diagnosis in one.
- Two patients had associated malignancies; two presented with abdominal pain, one with gastric volvulus.
Conclusions:
- Chilaiditi's syndrome, though rare, is a significant cause of abdominal pathology, including gastric volvulus.
- Diagnostic imaging plays a crucial role in identifying this anomaly.
- Management may involve surgery (e.g., hepatopexy) or conservative therapy, with favorable outcomes reported.