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Case Report
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Chilaiditi syndrome in a child with cerebral palsy presenting with recurrent abdominal pain

Year 2021, Volume: 6 Issue: 3, 131 - 134, 16.09.2021

Fatma Dilşad Aksoy , Esra Türe , Aynur Karaca , Seda Sinem Yurdaor

https://doi.org/10.22391/fppc.874778

Abstract

Introduction: The hepatodiafragmatic interposition of colon is called Chilaiditi sign. For symptomatic patients, the term “Chilaiditi syndrome” is used, this term was first reported in 1911 by Demetrius Chilaiditi, a Viennese radiologist, in three asymptomatic patients. Patients are commonly asymptomatic, and some patients may apply with gastrointestinal or respiratory symptoms such as abdominal pain or chest pain. In the study of Lekkas et al, the incidence of Chilaiditi syndrome in mental retarded patients was reported to be 63 times higher than normal population.
Case Presentation: High liver dome and elevated right diaphragm, hepatic flexura replaced between liver and anterior wall of abdomen were observed in chest radiography and abdominal computer tomography of our 6,5 year old male patient with cerebral palsy who has mental retardation and recurrent abdominal pain in medical history.
Conclusions: In conclusion, Chilaiditi syndrome should be considered in mental retarded children with recurrent abdominal pain.
Keywords: Child, chilaiditi syndrome, recurrent abdominal pain, mental retardation, cerebral palsy

Keywords

child chilaiditi syndrome recurrent abdominal pain mental retardation cerebral palsy

References

  • 1. Weng WH, Liu DR, Feng CC, Que RS. Colonic interposition between the liver and left diaphragm - management of Chilaiditi syndrome: A case report and literature review. Oncol Lett. 2014;7(5):1657-60. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3997735/
  • 2. Haddad CJ, Lacle J. Chilaiditi's syndrome. A diagnostic challenge. Postgrad Med. 1991;89(4):249-52. https://doi.org/10.1080/00325481.1991.11700877
  • 3. Chilaiditi D. Zur Frage der Hepatoptose und Ptose im allgemeinen im Anschluss an drei Falle von temporarer, partieller Leberverlagerung. Fortschr Rontgenstr 1910;16:173-207.
  • 4. Fisher AA, Davis MW. An elderly man with chest pain, shortness of breath, and constipation. Postgrad Med J 2003;79(929):180-4. http://dx.doi.org/10.1136/pmj.79.929.180
  • 5. Saber AA, Boros MJ. Chilaiditi's syndrome: what should every surgeon know? Am Surg 2005;71(3):261-3. https://doi.org/10.1177/000313480507100318
  • 6. Moaven O, Hodin RA. Chilaiditi syndrome: a rare entity with important differential diagnoses. Gastroenterol Hepatol (NY) 2012;8(4):276-8. https://pubmed.ncbi.nlm.nih.gov/22723763/
  • 7. Lekkas CN, Lentino W. Symptom-producing interposition of the colon. Clinical syndrome in mentally deficient adults. JAMA 1978;240(8):747-50. https://www.ncbi.nlm.nih.gov/pubmed/671703
  • 8. 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(1):71-5. https://doi.org/10.1111/j.1440-1819.1987.tb00393.x
  • 9. Kumar A, Mehta D. Chilaiditi Syndrome. [Updated 2021 Apr 20]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK554565/

Tekrarlayan karın ağrısı ile başvuran serebral palsili bir çocukta chilaiditi sendromu

Year 2021, Volume: 6 Issue: 3, 131 - 134, 16.09.2021

Fatma Dilşad Aksoy , Esra Türe , Aynur Karaca , Seda Sinem Yurdaor

https://doi.org/10.22391/fppc.874778

Abstract

Giriş: Kolonun hepatodiafragmatik interpozisyonuna Chilaiditi işareti denir. Semptomatik hastalar için "Chilaiditi sendromu" terimi kullanılır, bu terim ilk olarak 1911'de Viyanalı bir radyolog olan Demetrius Chilaiditi tarafından üç asemptomatik hastada bildirilmiştir. Hastalar genellikle asemptomatiktir ve bazı hastalar karın ağrısı veya göğüs ağrısı gibi gastrointestinal veya solunum semptomları ile başvurabilir. Lekkas ve arkadaşlarının çalışmasında zihinsel engelli hastalarda Chilaiditi sendromu görülme sıklığının normal popülasyondan 63 kat daha fazla olduğu bildirilmiştir.
Vaka Sunumu: Tıbbi öyküsünde zeka geriliği ve tekrarlayan karın ağrısı olan 6,5 yaşındaki erkek hastamızın akciğer grafisinde ve abdominal bilgisayar tomografisinde yüksek karaciğer kubbesi ve yüksek sağ diyafram, karaciğer ile karın ön duvarı arasında yer alan hepatik fleksura izlendi.
Sonuç: Sonuç olarak Chilaiditi sendromu, tekrarlayan karın ağrısı olan zihinsel engelli çocuklarda düşünülmelidir.
Anahtar kelimeler: Çocuk, chilaiditi sendromu, tekrarlayan karın ağrısı, zeka geriliği, serebral palsi

Keywords

çocuk chilaiditi sendromu tekrarlayan karın ağrısı zeka geriliği serebral palsi

References

  • 1. Weng WH, Liu DR, Feng CC, Que RS. Colonic interposition between the liver and left diaphragm - management of Chilaiditi syndrome: A case report and literature review. Oncol Lett. 2014;7(5):1657-60. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3997735/
  • 2. Haddad CJ, Lacle J. Chilaiditi's syndrome. A diagnostic challenge. Postgrad Med. 1991;89(4):249-52. https://doi.org/10.1080/00325481.1991.11700877
  • 3. Chilaiditi D. Zur Frage der Hepatoptose und Ptose im allgemeinen im Anschluss an drei Falle von temporarer, partieller Leberverlagerung. Fortschr Rontgenstr 1910;16:173-207.
  • 4. Fisher AA, Davis MW. An elderly man with chest pain, shortness of breath, and constipation. Postgrad Med J 2003;79(929):180-4. http://dx.doi.org/10.1136/pmj.79.929.180
  • 5. Saber AA, Boros MJ. Chilaiditi's syndrome: what should every surgeon know? Am Surg 2005;71(3):261-3. https://doi.org/10.1177/000313480507100318
  • 6. Moaven O, Hodin RA. Chilaiditi syndrome: a rare entity with important differential diagnoses. Gastroenterol Hepatol (NY) 2012;8(4):276-8. https://pubmed.ncbi.nlm.nih.gov/22723763/
  • 7. Lekkas CN, Lentino W. Symptom-producing interposition of the colon. Clinical syndrome in mentally deficient adults. JAMA 1978;240(8):747-50. https://www.ncbi.nlm.nih.gov/pubmed/671703
  • 8. 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(1):71-5. https://doi.org/10.1111/j.1440-1819.1987.tb00393.x
  • 9. Kumar A, Mehta D. Chilaiditi Syndrome. [Updated 2021 Apr 20]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK554565/
There are 9 citations in total.

Details

Primary Language English
Subjects Paediatrics
Journal Section Case Report
Authors

Fatma Dilşad Aksoy 0000-0001-6128-5925

Esra Türe 0000-0002-1015-1764

Aynur Karaca 0000-0002-2443-4589

Seda Sinem Yurdaor 0000-0002-8104-7219

Publication Date September 16, 2021
Submission Date February 5, 2021
Acceptance Date September 10, 2021
Published in Issue Year 2021 Volume: 6 Issue: 3

Cite

APA Aksoy, F. D., Türe, E., Karaca, A., Yurdaor, S. S. (2021). Chilaiditi syndrome in a child with cerebral palsy presenting with recurrent abdominal pain. Family Practice and Palliative Care, 6(3), 131-134. https://doi.org/10.22391/fppc.874778
AMA Aksoy FD, Türe E, Karaca A, Yurdaor SS. Chilaiditi syndrome in a child with cerebral palsy presenting with recurrent abdominal pain. Fam Pract Palliat Care. December 2021;6(3):131-134. doi:10.22391/fppc.874778
Chicago Aksoy, Fatma Dilşad, Esra Türe, Aynur Karaca, and Seda Sinem Yurdaor. “Chilaiditi Syndrome in a Child With Cerebral Palsy Presenting With Recurrent Abdominal Pain”. Family Practice and Palliative Care 6, no. 3 (December 2021): 131-34. https://doi.org/10.22391/fppc.874778.
EndNote Aksoy FD, Türe E, Karaca A, Yurdaor SS (December 1, 2021) Chilaiditi syndrome in a child with cerebral palsy presenting with recurrent abdominal pain. Family Practice and Palliative Care 6 3 131–134.
IEEE F. D. Aksoy, E. Türe, A. Karaca, and S. S. Yurdaor, “Chilaiditi syndrome in a child with cerebral palsy presenting with recurrent abdominal pain”, Fam Pract Palliat Care, vol. 6, no. 3, pp. 131–134, 2021, doi: 10.22391/fppc.874778.
ISNAD Aksoy, Fatma Dilşad et al. “Chilaiditi Syndrome in a Child With Cerebral Palsy Presenting With Recurrent Abdominal Pain”. Family Practice and Palliative Care 6/3 (December2021), 131-134. https://doi.org/10.22391/fppc.874778.
JAMA Aksoy FD, Türe E, Karaca A, Yurdaor SS. Chilaiditi syndrome in a child with cerebral palsy presenting with recurrent abdominal pain. Fam Pract Palliat Care. 2021;6:131–134.
MLA Aksoy, Fatma Dilşad et al. “Chilaiditi Syndrome in a Child With Cerebral Palsy Presenting With Recurrent Abdominal Pain”. Family Practice and Palliative Care, vol. 6, no. 3, 2021, pp. 131-4, doi:10.22391/fppc.874778.
Vancouver Aksoy FD, Türe E, Karaca A, Yurdaor SS. Chilaiditi syndrome in a child with cerebral palsy presenting with recurrent abdominal pain. Fam Pract Palliat Care. 2021;6(3):131-4.

Family Practice and Palliative Care       ISSN 2458-8865       E-ISSN 2459-1505