Luo XG, Wang J, Wang WL, Yu CZ. Intermittent abdominal pain accompanied by defecation difficulties caused by Chilaiditi syndrome: A case report. World J Clin Cases 2018; 6(15): 1042-1046 [PMID: 30568961 DOI: 10.12998/wjcc.v6.i15.1042]
Corresponding Author of This Article
Chun-Zhao Yu, MD, PhD, Professor, Department of General Surgery, the Second Affiliated Hospital of Nanjing Medical University, No. 121 Jiangjiayuan Road, Nanjing 210011, Jiangsu Province, China. chunzhaoyu@njmu.edu.cn
Research Domain of This Article
Medicine, Research & Experimental
Article-Type of This Article
Case Report
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Luo XG, Wang J, Wang WL, Yu CZ. Intermittent abdominal pain accompanied by defecation difficulties caused by Chilaiditi syndrome: A case report. World J Clin Cases 2018; 6(15): 1042-1046 [PMID: 30568961 DOI: 10.12998/wjcc.v6.i15.1042]
Xia-Gang Luo, Jing Wang, Wu-Lin Wang, Chun-Zhao Yu, Department of General Surgery, the Second Affiliated Hospital of Nanjing Medical University, Nanjing 210011, Jiangsu Province, China
Author contributions: Luo XG wrote the paper; Wang J, Wang WL collected the data and relevant images; Yu CZ revised the paper.
Supported bythe National Natural Science Foundation of China, No. 30972910, 81172269; Jiangsu Provincial Commission of Health and Family Planning, No. Z201603; Science and Technology Development Fund of Nanjing Health and Family Planning Commission, No. YKK16233; Youth talent support program of Nanjing City during the 13th Five-Year Plan Period, No. QRX17107.
Informed consent statement: The patient was not required to give informed consent as the analysis included completely anonymous data; informed consent was obtained before any medical investigation or initiation of treatment as required.
Conflict-of-interest statement: The authors declare no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared according to the CARE Checklist (2016).
Correspondence to: Chun-Zhao Yu, MD, PhD, Professor, Department of General Surgery, the Second Affiliated Hospital of Nanjing Medical University, No. 121 Jiangjiayuan Road, Nanjing 210011, Jiangsu Province, China. chunzhaoyu@njmu.edu.cn
Telephone: +86-25-58509832 Fax: +86-25-58509994
Received: September 12, 2018 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
ARTICLE HIGHLIGHTS
Case characteristics
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.
Clinical diagnosis
Chilaiditi syndrome.
Differential diagnosis
Renal or biliary colic, sub-phrenic abscess, pneumoperitoneum or congenital diaphragmatic hernia.
Laboratory diagnosis
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.
Imaging diagnosis
Chilaiditi syndrome.
Treatment
The patient underwent laparoscope-assisted right hemicolectomy.
Related reports
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.
Term explanation
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.
Experiences and lessons
Chilaiditi syndrome is rare. Due to its low incidence, Chilaiditi syndrome is easily misdiagnosed. Imaging examination is an important diagnostic technique in Chilaiditi syndrome.
