Chilaiditi Syndrome: A Case Report Highlighting the Intermittent Nature of the Disease

Background. Chilaiditi syndrome is a phenomenon where there is an interposition of the colon between the liver and the abdominal wall leading to clinical symptoms. This is distinct from Chilaiditi sign for which there is radiographic evidence of the interposition, but is asymptomatic. Case Presentat...

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Main Authors: Esha M. Kapania, Christina Link, Joshua M. Eberhardt
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2018/3515370
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author Esha M. Kapania
Christina Link
Joshua M. Eberhardt
author_facet Esha M. Kapania
Christina Link
Joshua M. Eberhardt
author_sort Esha M. Kapania
collection DOAJ
description Background. Chilaiditi syndrome is a phenomenon where there is an interposition of the colon between the liver and the abdominal wall leading to clinical symptoms. This is distinct from Chilaiditi sign for which there is radiographic evidence of the interposition, but is asymptomatic. Case Presentation. Here, we present the case of a patient who, despite having clinical symptoms for a decade, had a delayed diagnosis presumably due to the interposition being intermittent and episodic. Conclusions. This case highlights the fact that Chilaiditi syndrome may be intermittent and episodic in nature. This raises an interesting question of whether previous case reports, which describe complete resolution of the syndrome after nonsurgical intervention, are perhaps just capturing periods of resolution that may have occurred spontaneously. Because the syndrome may be intermittent with spontaneous resolution and then recurrence, patients should have episodic follow-up after nonsurgical intervention.
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spelling doaj-art-39d3f3b0c2b2401d9e650119cb7ef6e32025-02-03T01:21:08ZengWileyCase Reports in Medicine1687-96271687-96352018-01-01201810.1155/2018/35153703515370Chilaiditi Syndrome: A Case Report Highlighting the Intermittent Nature of the DiseaseEsha M. Kapania0Christina Link1Joshua M. Eberhardt2Loyola University Medical Center, Maywood, IL, USALoyola University Medical Center, Maywood, IL, USALoyola University Medical Center, Maywood, IL, USABackground. Chilaiditi syndrome is a phenomenon where there is an interposition of the colon between the liver and the abdominal wall leading to clinical symptoms. This is distinct from Chilaiditi sign for which there is radiographic evidence of the interposition, but is asymptomatic. Case Presentation. Here, we present the case of a patient who, despite having clinical symptoms for a decade, had a delayed diagnosis presumably due to the interposition being intermittent and episodic. Conclusions. This case highlights the fact that Chilaiditi syndrome may be intermittent and episodic in nature. This raises an interesting question of whether previous case reports, which describe complete resolution of the syndrome after nonsurgical intervention, are perhaps just capturing periods of resolution that may have occurred spontaneously. Because the syndrome may be intermittent with spontaneous resolution and then recurrence, patients should have episodic follow-up after nonsurgical intervention.http://dx.doi.org/10.1155/2018/3515370
spellingShingle Esha M. Kapania
Christina Link
Joshua M. Eberhardt
Chilaiditi Syndrome: A Case Report Highlighting the Intermittent Nature of the Disease
Case Reports in Medicine
title Chilaiditi Syndrome: A Case Report Highlighting the Intermittent Nature of the Disease
title_full Chilaiditi Syndrome: A Case Report Highlighting the Intermittent Nature of the Disease
title_fullStr Chilaiditi Syndrome: A Case Report Highlighting the Intermittent Nature of the Disease
title_full_unstemmed Chilaiditi Syndrome: A Case Report Highlighting the Intermittent Nature of the Disease
title_short Chilaiditi Syndrome: A Case Report Highlighting the Intermittent Nature of the Disease
title_sort chilaiditi syndrome a case report highlighting the intermittent nature of the disease
url http://dx.doi.org/10.1155/2018/3515370
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