Tekrarlayan Solunum Sıkıntısı Atakları ile Başvuran Bir Chilaiditi Sendromu
Chilaiditi Sendromu ilk kez 1910 yılında Demetrius Chilaiditi tarafından radyolojik olarak karaciğer ile diyaf- ragma arasına kolonun girmesiyle karakterize bir durum olarak tanımlanmıştır. Genelde hastalar asemptomatik olup bazı hastalarda gastrointestinal ve solunumsal belir- tilerle birlikte bulunabilir. Öyküsünde, yineleyen solunum sıkıntısı yakınmaları bulunan 5 yaşında kız hasta hastane- ye yatırıldı. Çekilen akciğer grafisinde dilate kalın barsa- ğın alttan basısı sonucu sağ diyafragmanın yükselmiş olduğu gözlendi. Sonuç olarak yineleyen solunum sıkıntısı tanımlayan çocukluk yaş grubundaki hastalarda bile Chilaiditi sendromunun akılda bulundurulması gerekir
A Case with Recurrent Respiratory Distress: Chilaiditi Syndrome
Chilaiditi syndrome was first described in 1910 by Demetrius Chilaiditi as a radiological evidence of colonic interposition between the liver and diaphragm. In general, patients are asymptomatic, but some have gastrointestinal and respiratory symptoms. A 5-years old female patient was admitted to the hospital with a history of recurrent respiratory distress. The chest x-ray revealed an elevation of the right hemidiaphragma caused by the presence of a dilated colonic loop below. This rare syndrome should be kept in mind even in pediatric patients with recurrent res- piratory distress
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- 1. Haddad CJ, Lacle J. Chilaiditi’s syndrome. A diagnostic challenge. Postgrad Med 1991; 89:249-50.
- 2. Fisher AA, Davis MW. Self assessment answer: an elderly man with chest pain, shortness of breath, and constipation. Postgrad Med 2003; 79:183-4.
- 3. Walsh SD, Cruikshank JG. Chilaiditi syndrome. Age Ageing 1977; 6:51-7.
- 4. Vessal K, Borhanmanesh F. Hepatodiaphragmatic interposition of the intestine (Chilaiditi’s syndrome). Clin Radiol 1976; 27:113-6.
- 5. Lekkas CN, Lentino W. Symptom-producing interposition of the colon. Clinical syndrome in mentally deficient adults. JAMA 1978; 240:747-50.
- 6. Oubenaissa A, Perrault LP, Ridoux G. Hepatodiaphragmatic interposition of the colon-an unusual case of combined anterior and posterior types treated with an original operative technique: report of a case. Dis Colon Rectum 1999; 42:278-80.
- 7. Karaman C, Özek T, Urhan MK, et al. Agenesis of the right lobe of the liver. Case report. Acta Radiologica 1997; 38:428- 30.
- 8. Orangio GR, Fazio VW, Winkelman E. The Chilaiditi syndrome and associated volvulus of the transverse colon: an indication for surgical therapy. Dis Colon Rectum 1986; 29:653-6.
- 9. Bhattacharya PC, Bhattacharya AK, Dutta S, et al. Chilaiditi syndrome with ascites. JAPL 2002; 50:860-1.
- 10. Matsuo T, Kotsubo D, Ichiki S, et al. Chilaiditi’s syndrome in schizophrenic patients. The Japanese Journal of Psychiatry and Neurology 1987; 41:71-75.
- 11. Isbister WH, Bellamy P. Hepato-diaphragmatic interposition of the intestine (Chilaiditi’s syndrome): A case report. Aust N Z J Surg 1991; 61:462-4.
- 12. Koşar A, Tezel Ç, Örki A, Kıral H, Ürek Ş, Dudu C. Hepatodiyafragmatik interpozisyon: Chilaiditi sendromu: hasta sunumu. Göğüs Hastanesi Dergisi, 2004; 18:133-5.
- 13. Fukuchi Y, Hirano A, Aoki T. Rare case of internal hernia with a new type of hepatodiaphragmatic interposition of the stomach and colon. Am J Gastroenterol 1989; 84:1322-4.
- 14. Risaliti A, Anna DD, Terrosu G, et al. Chilaiditi’s syndrome as a surgical and nonsurgical problem. Surgery 1993; 176:55-8.
- 15. Kaymakçıoğlu N, Yakut M, Tan A, et al. Hypoganglionic megacolon associated Chilaiditi’s syndrome treated by subtotal colectomy: a case report. Int Surg 2000; 85:48-50.
- 16. Melester T, Burt ME. Chilaiditi’s syndrome. Report of three cases. JAMA 1985; 254:944-5.