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[Hepato-diaphragmatic interposition of the colon in children. Chilaiditi's syndrome]
Insights
Chilaiditi syndrome, a rare condition where the colon is between the liver and diaphragm, occurred in a 12-day-old infant with intestinal obstruction. Surgical intervention was required for this rare pediatric case.
Area of Science:
- Gastroenterology
- Pediatric Surgery
- Radiology
Background:
- Chilaiditi syndrome, also known as hepatoptosis or diaphragmatic-hepatic interposition of the colon, is a rare congenital anomaly.
- This condition involves the abnormal positioning of the colon between the liver and the diaphragm.
Observation:
- A 12-day-old infant presented with symptoms of intestinal obstruction in the neonatal period.
- Radiological or clinical examination revealed the interposition of the colon between the diaphragm and the liver.
Findings:
- The infant was diagnosed with Chilaiditi syndrome, a condition exceptionally rare in children.
- The case highlights the importance of recognizing this syndrome in the differential diagnosis of conditions mimicking pneumoperitoneum or diaphragmatic hernia.
Implications:
- Early recognition of Chilaiditi syndrome is crucial for appropriate management in neonates presenting with abdominal issues.
- Surgical treatment was necessary in this case, underscoring the potential need for intervention in symptomatic pediatric patients.
- This case contributes to the limited literature on Chilaiditi syndrome in infants, emphasizing its diagnostic and therapeutic considerations.
Abstract:
The interposition of the colon between the diaphragm and the liver is reported in an infant aged 12 days who presented in the neonatal period with intestinal obstruction. The syndrome which was described by Chilaiditi in 1910 under the name of hepatoptosis or diaphragmatic-hepatic interposition of the colon, is rare in adults and exceptionally rare in children. Nevertheless it is important to recognise at it is part of the differential diagnosis of pneumoperitoneum and a right sided diaphragmatic hernia. The treatment was surgical in our case.