Halil KAYA, Mehmet Tahir GÖKDEMİR, Özgür SÖĞÜT, Alpaslan TERZİ, Mehmet Akif DOKUZOĞLU

Genç Bir Hastada Chilaiditi Sendromu

Chiladiti sendromu, kolonun hepatodiafragmatik interpozisyonu olup, normal populasyonda nadir görülen bir radyolojik bulgudur. Genellikle de yetişkin, kronik akciğer hastası, astenik kişiler ile multipar bayanlarda daha sık görülmektedir. Barsak ansları diafram ve karaciğer arasında yerleşmiş olup vakaların çoğuna tesadüfen tanı konmaktadır. Klinik olarak hafif abdominal ağrı, intestinal obstrüksiyon, göğüs ağrısı, nefes darlığı gibi semptomlarla ortaya çıkabilir. Çalışmamızda 26 yaşında iki aydır karın ağrısı bulunan kadın bir olguyu sunmayı amaçladık. Semptomatik tedavi ile şikayetleri geçen olgu Chilaiditi sendromu olarak değerlendirildi. Bu sendromun nadir görülmesi ve tipik radyolojik bulgular nedeniyle vakayı sunmayı amaçladık.

Anahtar Kelimeler:

Chilaiditi sendromu, radyolojik bulgu, karın ağrısı

Chilaiditi Syndrome in a Young Patient

Chilaiditi syndrome, an hepatodiaphragmatic interposition of the colon, is a rare radiological finding in the normal population.Chilaiditi syndrome is more frequently seen in adults, people with chronic lung disease, multiparous women and asthenic people. Bowel loops are located between the diaphragm and liver and most of the cases are diagnosed incidentally. Clinically, mild abdominal pain, intestinal obstruction, chest pain, symptoms such as shortness of breath may occur. In this study we aimed to present a 26 year old woman with abdominal pain of two months duration. The patient’s complaint was relieved with symptomatic treatment, and assessed as Chilaiditi syndrome. Because of the rarity of this syndrome, and the typical radiological findings, we aimed to present this case

Keywords:

Chilaiditi syndrome, radiological finding, abdominal pain,

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Pediatric radiology. In: Morgulis AR, Burhenne HJ editors. Alimentary Tract Radiology, 4 th ed. Toronto 1989; 1717-57.
Pritchard GA, Price-Thomas JM. Internal hernia of the transverse colon. Dis Colon Rectum 1986; 29: 657-8. [CrossRef]
Haddad CJ, Lacle J. Chilaiditi’s syndrome. A diagnostic challenge. Post- grad Med 1991; 89: 249-50.
Fisher AA, Davis MW. Self assessment answer: an elderly man with chest pain, shortness of breath, and constipation. Postgrad Med 2003; 79: 183-4. [CrossRef]
Wong VW, Yuk-Wah Liu S, Wai-Yan Chiu P, Kin-Hung Wong S, Kwok-Wai Ng E. Chilaiditi’s syndrome: a nonemergent cause of “free gas under di- aphragm”. Am J Surg 2009; 198: 25-6. [CrossRef]
Gök Dalbeler A, Gider Kaya Ş. Chilaiditi sendromu: Karın ağrısının nadir sebeplerinden birisi. Ümraniye Tıp Dergisi 2008; 1: 13-5.
Vessal K, Borhanmanesh F. Hepatodiaphragmatic interposition of the intestine (Chilaiditi’s syndrome). Clin Radiol 1976; 27: 113-6. [CrossRef]
Lekkas CN, Lentino W. Symptom-producing interposition of the colon. Clinical syndrome in mentally deficient adults. JAMA 1978; 240: 747-50. [CrossRef]
Karaman C, Özek T, Urhan MK, Topgul K. Agenesis of the right lobe of the liver. Case report. Acta Radiologica 1997; 38: 428-30. [CrossRef]
Bhattacharya PC, Bhattacharya AK, Dutta S, Mahanta N, Talukdar R. Chi- liaditi syndrome with ascites. JAPL 2002; 50: 860-1.
Younes N, Sbeih M. Unusual association between renal tubular acidosis and chilaiditi syndrome. East Mediterr Health J 2006; 12: 246-8.
Melester T, Burt ME. Chilaiditi’s syndrome. Report of three cases. JAMA 1985; 254: 944-5. [CrossRef]
Elçin CN, Erdem G, Taşçı İ, Doğru T, Sönmez A, Naharcı İ, ve ark. Respira- tory Distress, constipation and acute myocardial infarction in associati- on with Chilaiditi’s syndrome: A case report. Anatol J Clin Investig 2008; 2: 167-70.
Yetkin Ö, Karabıyıkoğlu G. Chilaiditi syndrome: a case report. İnönü Üni- versitesi Tıp Fakültesi Dergisi 2006; 13: 179-80.
Koşar A, Tezel Ç, Orkı A, Kıral H, Ürek Ş, Dudu C. Hepatodiyafrağmatik in- terpozisyon : Chilaiditi sendromu: Olgu sunumu. İzmir Göğüs Hastanesi Dergisi 2004; 3: 133-5.
Matsuo T, Kotsubo D, Ichiki S, Tagawa K, Kitazono T, Nakao Y, et al. Chilaiditi’s syndrome in schizophrenic patients. Jpn J Psychiatry Neurol 1987; 41: 71-5.
Isbister WH, Bellamy P. Hepato-diaphragmatic interposition of the intesti- ne (Chilaiditi’s syndrome): A case report. Aust N Z J Surg 1991; 61: 462-4. [CrossRef]
Risaliti A, Anna DD, Terrosu G, Uzzau A, Carcaforo P, Bresadda F. Chiliaditi’s syndrome as a surgical and nonsurgical problem. Surgery 1993; 176: 55-8.