First report in Cuba of Left-Sided Chilaiditi syndrome

Authors

Keywords:

Chilaiditi sign, Chilaiditi syndrome, left Chilaiditi, colic interposition

Abstract

Both left Chilaiditi sign and syndrome are very rare and rarely reported in the literature. The case of a 49-year-old female patient with a three-year history of recurrent abdominal pain located in the left upper quadrant associated with episodes of nausea, vomiting, diarrhea and syncope is described. After clinical reevaluation and imaging studies, the left Chilaiditi sign was observed and, given the symptoms, Chilaiditi syndrome was diagnosed. After consulting the national and international indexed literature, this report would be the first published in Cuba.

Downloads

Download data is not yet available.

Author Biography

Oscar Manuel Villa Jiménez, Instituto de Gastroenterología

Doctor en Medicina. Especialista en Gastroenterología. Máster en Enfermedades Infecciosas. Responsable de la consulta de Intestino Delgado y Enfermedades Malabsortivas del Instituto de Gastroenterología.

References

de Pablo Marquez B, Pedrazas Lopez D, Garcia Font D, Roda Diestro J, Romero Vargas S. [Chilaiditi's sign]. Gastroenterol Hepatol [Internet]. 2016 [citado el 23 dic 2024];39(5):361-2. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0210570515002976?via%3Dihub

Adu Y, Nesiama EA, Siddiqui A, Prakash S, Obokhare I. Chilaiditi Syndrome: A Case Report, Literature Review, and Proposition of a Novel Management Staging System. Cureus [Internet]. 2023 [citado el 23 dic 2024];15(10):e46688. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC10629610/pdf/cureus-0015-00000046688.pdf

Ajayi T, Moon G, Mony S. Chilaiditi's Syndrome-An Unusual Cause of Gastric Outlet Obstruction and Constipation. Gastro Hep Adv [Internet]. 2023 [citado el 28 dic 2024];2(8):1026-7. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC11308644/pdf/main.pdf

Mendes E, Diz R, Cassama D, Dourado A. Chilaiditi Sign and Syndrome as a Finding in the Emergency Room: A Case Report. Cureus [Internet]. 2024 [citado el 28 dic 2024];16(12):e75674. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC11725387/pdf/cureus-0016-00000075674.pdf

Touati MD, Ben Othmane MR, Khefacha F, Belhadj A, Saidani A, Chebbi F. An exceptional cause of dyspnea: The uncommon case report of the association between Chilaiditi syndrome and diaphragmatic eventration. Int J Surg Case Rep [Internet]. 2023 [citado el 23 dic 2024];112:109008. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC10667936/pdf/main.pdf

Sarkar S, Ramala SR. Chilaiditi Sign: A Rare Radiographic Encounter and Diagnostic Exploration. Cureus [Internet]. 2024 [citado el 28 dic 2024];16(4):e57822. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC11078078/pdf/cureus-0016-00000057822.pdf

Tola GG, Tesso BA, Kebede ML, Bezabih YD. A case report of Chilaiditi syndrome presenting with a small bowel obstruction in an elderly Ethiopian man: A potential case for a misdiagnosis. Int J Surg Case Rep [Internet]. 2024 [citado el 28 dic 2024];125:110532. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC11609392/pdf/main.pdf

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 [Internet]. 2014 [citado el 27 dic 2024];7(5):1657-60. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC3997735/pdf/ol-07-05-1657.pdf

Yilmaz G, Mentese K, Kilic Erol P, Balkan B, Topal U. Intensive Care Management of an Adult Patient With Rare Chilaiditi Syndrome Presenting as Abdominal Breathing: A Case Report. Cureus [Internet]. 2024 [citado el 21 dic 2024];16(2):e53615. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC10915711/pdf/cureus-0016-00000053615.pdf

Saha B, Verma A, Coelho-Prabhu N, Kelm ZS, Cabrera D. Chilaiditi Syndrome Masquerading as Acute Cholecystitis. ACG Case Rep J [Internet]. 2024 [citado el 23 dic 2024];11(7):e01448. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC11259379/pdf/ac9-11-e01448.pdf

Gurvits G. Hirschsprung's disease and Chilaiditi syndrome in young adults. Intern Emerg Med [Internet]. 2024 [citado el 25 dic 2024]. Disponible en: https://link.springer.com/article/10.1007/s11739-024-03671-y

Wahab A, Ghulam M, Anthony N, Khan I, Ullah N. A Case Report of Chilaiditi's Syndrome With Sigmoid Volvulus. Cureus [Internet]. 2023 [citado el 29 dic 2024];15(9):e46193. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC10613345/pdf/cureus-0015-00000046193.pdf

Rego Ávila H, Delgado Rodríguez A, Vitón Castillo AA. Síndrome de Chilaiditi. Reporte de un caso y revisión de la literatura. Revista Finlay [Internet]. 2020 [citado el 28 dic 2024];10:325-9. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S2221-24342020000300325&nrm=iso

Mohamed AOK, Mohamed AOK, Ibrahim MI. Chilaiditi syndrome in COPD patient: A case report. Radiol Case Rep [Internet]. 2024 [citado el 29 dic 2024];19(9):3824-8. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC11253138/pdf/main.pdf

Draves J, Tekiner H, Yale SH, Yale ES. Chilaiditi Sign: Involvement of the Large and Small Intestines? ACG Case Rep J [Internet]. 2024 [citado el 28 dic 2024];11(12):e01558. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC11661708/pdf/ac9-11-e01558.pdf

Adjei P, Asamoah PH, Ohene DA, Amoakohene-Yeboah A, Asasu SA. Chilaiditi's Sign: A Rare Finding in a Patient with Concurrent Liver Cirrhosis and Chronic Lymphocytic Leukemia. Clin Med Insights Case Rep [Internet]. 2024 [citado el 28 dic 2024];17:1-5. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC11406644/pdf/10.1177_11795476241278973.pdf

Aodish S, Chang V, Callow A. Chilaiditi's Syndrome Mimicking Crohn's. Cureus [Internet]. 2024 [citado el 26 dic 2024];16(2):e54655. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC10959826/pdf/cureus-0016-00000054655.pdf

Gentille Lorente DI, Nunez Maldonado DL, Tapanes Daumy H, Cotilla Morales E. Left Chilaiditi syndrome: a rare cause of chest pain and dyspnea. Emergencias [Internet]. 2024 [citado el 23 dic 2024];36(4):317-8. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/39234840

Shimada H, Tago M, Tokushima M, Yamashita SI. Chilaiditi syndrome presenting with epigastric pain that improved by intentionally taking the left lateral decubitus position. J Gen Fam Med [Internet]. 2021 [citado el 21 dic 2024];22(1):53-4. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC7796780/pdf/JGF2-22-53.pdf

Tajaddini A, Fallahi M, Haghshenas H, Nourmohammadi SS, Ghahramani L, Shahriarirad R. Primary abdominal cocoon syndrome manifesting with Chilaiditi syndrome and intestinal obstruction: A case report. Clin Case Rep [Internet]. 2024 [citado el 21 dic 2024];12(1):e8363. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC10753128/pdf/CCR3-12-e8363.pdf

Mishra A, Shrestha AL. Chilaiditi syndrome in a Nepalese girl - A potential mislead! Int J Surg Case Rep [Internet]. 2022 [citado el 21 dic 2024];91:106808. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC8858753/pdf/main.pdf

Kaneko Y, Naseem Z, Sidhu A. A case report of a retrosplenic colonic interposition: Preoperative computed tomography is essential for safe colonic resection. Radiol Case Rep [Internet]. 2024 [citado el 23 dic 2024];19(9):4078-81. Disponible en: https://www.sciencedirect.com/science/article/pii/S193004332400534X

Silva FS, Moutinho J, Vasconcelos T, Simões IG. Chilaiditi Syndrome: A Rare Case and Clinical Insights for Diagnosis and Management. Cureus [Internet]. 2023 [citado el 23 dic 2024];15(11):e48932. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC10725527/pdf/cureus-0015-00000048932.pdf

Haddad CJ, Laclé J. Chilaiditi's syndrome. A diagnostic challenge. Postgrad Med [Internet]. 1991 [citado el 23 dic 2024];89(4):249-50, 52. Disponible en: https://www.tandfonline.com/doi/abs/10.1080/00325481.1991.11700877

Correa Jiménez O, Buendía De Ávila M, Parra Montes E, Davidson Córdoba J, De Vivero Camacho R. Signo y síndrome de Chilaiditi: condiciones infrecuentes pero con importancia diagnóstica en pediatría. Casos clínicos. Rev Chil Pediatr [Internet]. 2017 [citado el 28 dic 2024];88:635-9. Disponible en: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0370-41062017000500010&nrm=iso

Scaramozzino M, Levi G, Plastina U, Giovanni S, Marco U, Scaramozzino. A Rare Case of Patient with Left Chilaiditi's Syndrome. Monaldi Arch Chest Dis [Internet]. 2023 [citado el 28 dic 2024]. Disponible en: https://www.monaldi-archives.org/index.php/macd/article/view/2648

Raza A, Gullapalli D, Nickles B, Ganti S. Chilaiditi Syndrome: A Diagnostic Dilemma. Am J Respir Crit Care Med [Internet]. 2024 [citado el 28 dic 2024];209:A7352. Disponible en: https://www.atsjournals.org/doi/pdf/10.1164/ajrccm-conference.2024.209.1_MeetingAbstracts.A7352

Published

2025-05-15

How to Cite

1.
Merino Vega JS, Villa Jiménez OM, Lazo del Vallín S, Arencibia Martínez Y. First report in Cuba of Left-Sided Chilaiditi syndrome. Arch.cuba.gastroenterol. [Internet]. 2025 May 15 [cited 2025 May 18];4:e185. Available from: https://revgastro.sld.cu/index.php/gast/article/view/185

Issue

Section

INFORMES DE CASOS