Published online Dec 6, 2018. doi: 10.12998/wjcc.v6.i15.1042
Peer-review started: September 12, 2018
First decision: October 11, 2018
Revised: October 18, 2018
Accepted: October 22, 2018
Article in press: October 22, 2018
Published online: December 6, 2018
Processing time: 85 Days and 23.3 Hours
We report a case of intermittent lower abdominal pain and distension accompanied by defecation difficulties for 3 years due to Chilaiditi syndrome in a 59-year-old male. Before admission to our hospital, the patient had undergone gastroscopy, which showed gastritis and duodenitis, and colonoscopy, which showed cecum deformation and cicatricial changes of the mucous membrane in the colon hepatic flexure. A computed tomography (CT) scan of the abdomen at our hospital confirmed right hepatic atrophy and interposition of the colon. Moreover, CT simulation endoscopy identified cystic dilatation in the colon hepatic flexure with the widest diameter of 8.2 cm. The patient was diagnosed with Chilaiditi syndrome. As the patient was unable to endure his defecation difficulties, he underwent a laparoscope-assisted right hemicolectomy. The patient had a good recovery. During the follow-up period of 9 mo, the patient remained symptom-free.
Core tip: We report a rare case of intermittent lower abdominal pain and distension accompanied by defecation difficulties due to Chilaiditi syndrome. The incidence of Chilaiditi syndrome is very low and is easily misdiagnosed. Imaging examination is an important diagnostic technique for Chilaiditi syndrome.