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
A 59-year-old male patient was admitted to our hospital due to intermittent lower abdominal pain and distension accompanied by defecation difficulties for 3 years.
Chilaiditi syndrome.
Renal or biliary colic, sub-phrenic abscess, pneumoperitoneum or congenital diaphragmatic hernia.
Computed tomography (CT) scan of the abdomen confirmed right hepatic atrophy and interposition of the colon. CT simulation endoscopy identified a cystic dilatation in the colon hepatic flexure with the widest diameter of approximately 8.2 cm.
Chilaiditi syndrome.
The patient underwent laparoscope-assisted right hemicolectomy.
The incidence of Chilaiditi syndrome is very low. Imaging examination is very important for differential diagnosis and can avoid unnecessary emergency operation. The main treatment is conservative treatment.
Chilaiditi sign refers to the abnormal interposition of the colon or small bowel between the liver and right diaphragm, Once Chilaiditi sign is associated with a variety of clinical respiratory and digestive symptoms, the name is designated as Chilaiditi syndrome.
Chilaiditi syndrome is rare. Due to its low incidence, Chilaiditi syndrome is easily misdiagnosed. Imaging examination is an important diagnostic technique in Chilaiditi syndrome.