Chilaiditi’s syndrome complicated by colon perforation: a case report

Hepatodiaphragmatic interposition of the small or large intestine is known as Chilaiditi syndrome, whichis a rare disease diagnosed incidentally. Chilaiditi syndrome is typically asymptomatic, but it can be associated with symptoms ranging from intermittent, mild abdominal pain to acute intestinal obstruction, constipation, chest pain and breathlessness. A 54-year-old male patient was admitted to the hospital with a history of abdominal pain, nausea and vomiting. Chest X-ray revealed an elevation of the right hemidiaphragma caused by the presence of a dilated colonic loop below. The patient underwent urgent surgery with perforation as preliminary diagnosis. The patient underwent right hemicolectomy and ileocolic anastomosis because of the intestinal obstruction related to Chilaiditi’s Syndrome. Due to the rarity of this syndrome and typical radiological findings, this case was aimed to be presented.

Kolon perforasyonu yapan Chilaiditi Sendromu: Bir olgu sunumu

Chilaiditi sendromu, ince kalýn baðýrsaklarýn hepatodiafragmatik interpozisyonu durumudur. Nadir görülür ve olgularýn çoðuna tesadüfen taný konur. Sýklýkla semptomsuz olmakla birlikte aralýklarla ortaya çýkan hafif abdominal aðrý, intestinal obstrüksiyon, kabýzlýk, göðüs aðrýsý, nefes darlýðý gibi semptomlarla da ortaya çýkabilir. Karýn aðrýsý, bulantý ve kusma öyküsüyle hastaneye baþvuran 54 yaþýnda erkek hastanýn çekilen akciðer grafisinde dilate kalýn baðýrsak ansýnýn alttan basýsý sonucu sað diyafragmanýn yükselmiþ olduðu gözlendi. Hasta perforasyon ön tanýsýyla acil operasyona alýndý. Chilaiditi’s sendromunun neden olduðu intestinal obstrüksiyon nedeniyle sað hemikolektomi ve ileokolik anastomoz uygulandý. Nadir görülen bir sendrom olmasý ve tipik radyolojik bulgular nedeniyle bu olguyu sunmayý amaçladýk.