European Journal of Pediatrics

, Volume 165, Issue 6, pp 367–369 | Cite as

Chilaiditi syndrome as a cause of respiratory distress

  • Sevgi Keles
  • Hasibe Artac
  • Ismail Reisli
  • Hayrullah Alp
  • Osman Koc
Original Paper

Abstract

Chilaiditi syndrome is the interposition of the colon between the diaphragma and the liver. In general, patients are asymptomatic, but some patients have been associated with gastrointestinal and respiratory symptoms. A 5-month-old infant boy was admitted to the hospital with a history of cough, cyanosis and recurrent respiratory distress that had persisted during the preceding 2 months. The chest X-ray revealed an elevation of the right hemidiaphragma caused by the presence of a dilated colonic loop below. Computed tomography showed a hepatodiaphragmatic interposition of the colon, leading to the diagnosis of Chilaiditi syndrome. The patient was conservatively treated with oxygen, fluid supplementation and stool softeners. We conclude that this rare syndrome should be kept in mind when young patients present with recurrent respiratory distress.

Keywords

Chilaiditi syndrome Respiratory distress Children 

Abbreviation

CT

Computed tomography

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Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  • Sevgi Keles
    • 1
  • Hasibe Artac
    • 1
  • Ismail Reisli
    • 1
  • Hayrullah Alp
    • 1
  • Osman Koc
    • 2
  1. 1.Department of PediatricsSelcuk University Meram Medical FacultyKonyaTurkey
  2. 2.Department of RadiologySelcuk University Meram Medical FacultyKonyaTurkey

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