A couple of cases describe iatrogenically induced Chilaiditi syndrome from bariatric surgery, enteral feeding tube insertion, and colonoscopy. Intellectual disability and schizophrenia are also associated with anatomic variations that result in the Chilaiditi sign. Other factors that can predispose one to develop Chilaiditi syndrome include congenital malpositions, functional disorders such as chronic constipation caused by colonic elongation and redundancy, gaseous distension of the colon, small liver due to cirrhosis or hepatectomy, ascites due to increased intraabdominal pressure, substantial weight loss in obese patients and abnormally high diaphragm or diaphragmatic paralysis (which can present in conditions such as diaphragmatic muscular degeneration or phrenic nerve injury), a chronic obstructive lung disease that causes enlargement of the lower thoracic cavity, and multiple pregnancies. These variations can include the absence, laxity, or elongation of the suspensory ligaments of the transverse colon or falciform ligament. Variations in this anatomy lead to the pathological interposition of the colon seen in Chilaiditi syndrome. Normally, suspensory ligaments and fixation of the colon will prevent the interposition of the colon between the liver and diaphragm. When this causes gastrointestinal symptoms, it is known as Chilaiditi syndrome. Outline the importance of collaboration and coordination among the interprofessional team in identifying, treating, and managing a patient appropriately with suspected Chilaiditi syndrome.Ĭhilaiditi sign is a radiological finding that occurs when a segment of a large bowel loop or small intestine is interposed between the liver and a diaphragm.Explain the treatment approach to a patient with suspected Chilaiditi syndrome.Identify Chiladiti sign radiographically and distinguish between pneumoperitoneum and pseudo-pneumoperitoneum. ![]() ![]() Describe the pathophysiology of Chilaiditi syndrome.This activity reviews the evaluation, diagnosis criteria, and management of Chilaiditi syndrome and the role of the interprofessional team in managing a patient with Chilaiditi syndrome. Chilaiditi syndrome is a generally benign condition in which a segment of the intestine is interposed between the liver and diaphragm, which can be confused for more severe conditions and lead to unwarranted procedures.
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