Management of Dual Diagnosis: Chilaiditi Syndrome and Biliary Atresia Complicated by Cirrhosis
Published: 2024-07-15
Page: 137-140
Issue: 2024 - Volume 7 [Issue 1]
Khadija Boualiten *
Department of Gastroenterology I Unit, Mohamed V-Souissi University, Mohamed V Military Teaching Hospital, Rabat, Morocco.
T. Adioui
Department of Gastroenterology I Unit, Mohamed V-Souissi University, Mohamed V Military Teaching Hospital, Rabat, Morocco.
I Mouslim
Department of Gastroenterology I Unit, Mohamed V-Souissi University, Mohamed V Military Teaching Hospital, Rabat, Morocco.
S Berrag
Department of Gastroenterology I Unit, Mohamed V-Souissi University, Mohamed V Military Teaching Hospital, Rabat, Morocco.
F Nejjari
Department of Gastroenterology I Unit, Mohamed V-Souissi University, Mohamed V Military Teaching Hospital, Rabat, Morocco.
M Tamzaourte
Department of Gastroenterology I Unit, Mohamed V-Souissi University, Mohamed V Military Teaching Hospital, Rabat, Morocco.
*Author to whom correspondence should be addressed.
Abstract
Chilaiditi sign is an incidental radiographic finding of a usually asymptomatic condition, where part of the intestine is situated between the liver and the diaphragm. However, the term "Chilaiditi syndrome" is used for symptomatic hepatodiaphragmatic interposition. We report the case of a 15-year-old patient presenting with chronic hepatic colic due to this syndrome, which was diagnosed by abdominal CT scan. Most patients with Chilaiditi syndrome can be managed conservatively. However, surgery is indicated for those who do not respond to conservative management or in cases of suspected serious complications such as ischemia or intestinal perforation. Biliary Atresia (BA) is a rare congenital malformation characterized by an inflammatory and destructive process that obstructs the intra- and extrahepatic bile ducts, leading to rapid progression to complete cholestasis and irreversible biliary cirrhosis, ultimately resulting in the child's death within the first few years of life. Our case is the rare in the literature indicating the association of Chilaiditi syndrome and biliary atresia.
Keywords: Chilaiditi syndrome, Biliary atresia, 15-year-old girl, treatment
How to Cite
Downloads
References
Michele F, Raffaele C, Desirée SS, Jonel N, Vladislavs S, Karaorman M. Management of Chilaiditi syndrome: our experience and literature review. Journal of Surgery and Research. 2021;4(2):270-7.
Weng WH, Liu DR, Feng CC, et al. Colonic interposition between the liver and left diaphragm - management of Chilaiditi syndrome: A case report and literature review. Oncol Lett. 2014;7: 1657-1660.
Cawich SO, Spence R, Mohammed F, et al. The liver and Chilaiditi's syndrome: significance of hepatic surface grooves. SAGE Open Med Case Rep. 2017;5: 1-4.
Zvezdin B, Savic N, Hromis S, et al. Chilaiditi's sign and syndrome: theoretical facts and a case report. Vojnosanit Pregl. 2016;73:277-279.
Gaith Khair MD. Chilaiditi Syndrome Complicated by a Closed-Loop Small Bowel Obstruction. Gastroenterology & Hepatology. 2012;8(4):275.
Al-Salem AH, Al-Salem AH. Congenital Intestinal Atresia and Stenosis. Atlas of Pediatric Surgery: Principles and Treatment. 2020;445-66.
Beyer D, Mödder U, Benz-Bohm G, Horwitz AE. Special Features of Acute Abdominal Disorders in Children.
Chilaiditi D. Zur frage der hepatoptose und ptose im allgemeinen im anschlussan drei falle von temporarer, partieller leberver-lagerung. Fortschr Geb Rontgenstr. 1911;16:173-208.
Moaven O and Hodin RA. Chilaiditi syndrome: A rare entity with important differential diagnoses. Gastroenterol. Hepatol. 2012;8(4):276.
Safwan M, Ramachandran P, Vij M, Shanmugam N and Rela M. Impact of ductal plate malformation on survival with native liver in children with biliary atresia. Pediatr Surg Int. 2015;31:837-843.
Sinha CK and Davenport M. Biliary atresia. J Indian Assoc Pediatr Surg. 2008;13(2):49-56.
Yin AX, Park GH, Garnett GM and Balfour JF. Chilaiditi syndrome precipitated by colonoscopy: A case report and review of the literature. Hawii J Med Publ Health. 2012;71(6):158.
Farkas R, Moalem J and Hammond J. Chilaiditi’s sign in a blunt trauma patient: A case report and review of the literature. J Trauma Acute Care Surg. 2008;65(6):1540-1542.
Altomare DF, Rinaldi M, Petrolino M, Sallustio PL and Guglielmi A, et al. Chilaiditi's syndrome. Successful surgical correction by colopexy. Tech Coloproctol. 2001;5:173-175.