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Chilaiditi Syndrome: A Case Report, Literature Review, and Proposition of a Novel Management Staging System
Chilaiditi's sign refers to colonic interposition between the liver and the diaphragm in the right subphrenic space secondary to the relaxation of the suspensory ligaments of the right colic flexure. The diagnosis of Chilaiditi's sign is based on radiological findings with the following th...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10629610/ https://www.ncbi.nlm.nih.gov/pubmed/37942369 http://dx.doi.org/10.7759/cureus.46688 |
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author | Adu, Yaw Nesiama, Esere A Siddiqui, Arham Prakash, Sameer Obokhare, Izi |
author_facet | Adu, Yaw Nesiama, Esere A Siddiqui, Arham Prakash, Sameer Obokhare, Izi |
author_sort | Adu, Yaw |
collection | PubMed |
description | Chilaiditi's sign refers to colonic interposition between the liver and the diaphragm in the right subphrenic space secondary to the relaxation of the suspensory ligaments of the right colic flexure. The diagnosis of Chilaiditi's sign is based on radiological findings with the following three criteria: 1) The right hemidiaphragm must be adequately elevated above the liver by the intestine, 2) the bowel must be distended by air to illustrate pseudo-pneumoperitoneum, and 3) the superior margin of the liver must be depressed below the level of the left hemidiaphragm. In this report, we present the case of a 49-year-old female presenting with signs and symptoms suggestive of Chilaiditi syndrome managed with laparoscopic surgery. We also present a literature review with a summary of previous studies and propose a novel management staging system for this syndrome. |
format | Online Article Text |
id | pubmed-10629610 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-106296102023-11-08 Chilaiditi Syndrome: A Case Report, Literature Review, and Proposition of a Novel Management Staging System Adu, Yaw Nesiama, Esere A Siddiqui, Arham Prakash, Sameer Obokhare, Izi Cureus Gastroenterology Chilaiditi's sign refers to colonic interposition between the liver and the diaphragm in the right subphrenic space secondary to the relaxation of the suspensory ligaments of the right colic flexure. The diagnosis of Chilaiditi's sign is based on radiological findings with the following three criteria: 1) The right hemidiaphragm must be adequately elevated above the liver by the intestine, 2) the bowel must be distended by air to illustrate pseudo-pneumoperitoneum, and 3) the superior margin of the liver must be depressed below the level of the left hemidiaphragm. In this report, we present the case of a 49-year-old female presenting with signs and symptoms suggestive of Chilaiditi syndrome managed with laparoscopic surgery. We also present a literature review with a summary of previous studies and propose a novel management staging system for this syndrome. Cureus 2023-10-08 /pmc/articles/PMC10629610/ /pubmed/37942369 http://dx.doi.org/10.7759/cureus.46688 Text en Copyright © 2023, Adu et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Gastroenterology Adu, Yaw Nesiama, Esere A Siddiqui, Arham Prakash, Sameer Obokhare, Izi Chilaiditi Syndrome: A Case Report, Literature Review, and Proposition of a Novel Management Staging System |
title | Chilaiditi Syndrome: A Case Report, Literature Review, and Proposition of a Novel Management Staging System |
title_full | Chilaiditi Syndrome: A Case Report, Literature Review, and Proposition of a Novel Management Staging System |
title_fullStr | Chilaiditi Syndrome: A Case Report, Literature Review, and Proposition of a Novel Management Staging System |
title_full_unstemmed | Chilaiditi Syndrome: A Case Report, Literature Review, and Proposition of a Novel Management Staging System |
title_short | Chilaiditi Syndrome: A Case Report, Literature Review, and Proposition of a Novel Management Staging System |
title_sort | chilaiditi syndrome: a case report, literature review, and proposition of a novel management staging system |
topic | Gastroenterology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10629610/ https://www.ncbi.nlm.nih.gov/pubmed/37942369 http://dx.doi.org/10.7759/cureus.46688 |
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