CHILAIDITI SYNDROME PDF
Chilaiditi syndrome is a rare condition when pain occurs due to transposition of a loop of large intestine (usually transverse colon) in between the diaphragm. Chilaiditi syndrome is the anterior interposition of the colon to the liver reaching the under-surface of the right hemidiaphragm with associated upper abdominal. Chilaiditi syndrome is a rare condition occurring in % to % of the population. In these patients, the colon is displaced and caught.
|Published (Last):||14 June 2007|
|PDF File Size:||5.51 Mb|
|ePub File Size:||19.53 Mb|
|Price:||Free* [*Free Regsitration Required]|
Chilaiditi’s syndrome is a rare condition in which a portion of the colon is abnormally located interposed in between the liver and the diaphragm.
Case Reports in Surgery
The diaphragm is the muscle that separates the chest cavity from the abdomen. Chilaiditi’s syndrome can cause a variety of symptoms including abdominal pain, nausea, vomiting, and small bowel obstruction. The specific symptoms and presentation of Chilaiditi’s syndrome syhdrome vary chilaiditj from one person to another.
The cause of Chilaiditi’s syndrome is not fully understood. In most cases, interposition of a portion of colon between the liver and diaphragm does not cause symptoms asymptomatic and is often an incidental finding in the elderly. When no symptoms are present, this clinical chilaixiti is referred to as Chilaiditi’s sign. In rare cases, symptoms do develop; these cases are referred to as Chilaiditi’s syndrome. The presentation and specific symptoms that develop can be significantly different.
Chronic, recurrent episodes of abdominal pain are a common finding. Abdominal pain may be mild and come and go intermittent.
However, abdominal pain can be severe and force affected individuals to go to the emergency room.
These symptoms can occur together in a wide variety chilaiiti different combinations. Affected individuals will not have all of these symptoms and some affected individuals will not have any of these symptoms. The condition occurs with greater frequency in individuals with chronic lung disease, scarring of the liver cirrhosisand the accumulation of fluid within the abdominal cavity ascites.
Ascites can be associated with a wide variety of medical conditions.
Additional predisposing factors include abnormal elongation of the colon or abnormal looseness laxity of certain ligaments of the colon and liver. Ligaments are tough, fibrous bands of tissue that primarily serve to connect or support structures within the body. It is more common in older adults, but can occur at syndroke age and has been reported in children.
One published report estimated the incidence at. Comparisons may be useful for a differential diagnosis. Pneumoperitoneum is the abnormal presence of gas or air within the abdominal cavity. Pneumoperitoneum can have a variety of different causes.
The specific synvrome that occur depend upon the cause. A diagnosis of Chilaiditi’s syndrome is made based upon imaging radiographic confirmation of the abnormal positioning of the colon and the occurrence of associated symptoms.
Such imaging techniques may include chest and abdominal x- rays, ultrasounds, or computerized tomography CT scanning. The treatment of Chilaiditi’s syndrome is directed toward the specific symptoms that are apparent in each individual. Some affected individuals may not require any therapy. The removal of pressure from the intestines bowl decompression has alleviated symptoms in some cases. In some cases, surgical intervention may be required. Surgical techniques that have been used to treat individuals with Chilaiditi’s syndrome include the removal of a portion of the colon transverse colectomy or right hemicolectomy or the anchoring of a displaced liver to the abdominal wall hepatopexy.
IInformation on current clinical trials is posted on the Internet at www. All studies receiving U. Severe recurrent abdominal pain: Chilaiditi syndrome as sgndrome cause of respiratory distress. Chilaiditi syndrome associated with transverse colon volvulus: Eur J Pediatr Surg.
The content of the website and databases of the National Organization for Rare Disorders NORD is copyrighted and may not be reproduced, copied, downloaded or disseminated, in any way, for any commercial or public purpose, without prior written authorization and approval from NORD.
About News Events Contact. General Discussion Chilaiditi’s syndrome is a rare condition in which a portion of the colon is abnormally located interposed in between the liver and the diaphragm. Diagnosis A diagnosis of Chilaiditi’s syndrome is made based upon imaging radiographic confirmation of the abnormal positioning of the colon and the occurrence of associated symptoms. Standard Therapies Treatment The treatment of Chilaiditi’s syndrome is directed toward the specific symptoms that are apparent in each individual.
Investigational Therapies IInformation on current clinical trials is posted on the Internet at www. Michael J Boros, M. Years Published Alone we are rare. Together we are strong.