Transverse colon volvulus and associated Chilaiditi's syndrome: case report and literature review

Chilaiditi's sign is a radiographic term used when the hepatic flexure of the colon is seen interposed between the liver and right hemidiaphragm. When symptomatic, this is Chilaiditi's syndrome. We report a case of Chilaiditi's syndrome associated with transverse colon volvulus. A 64-...

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Bibliographic Details
Published inThe American journal of gastroenterology Vol. 91; no. 12; p. 2613
Main Authors Plorde, J J, Raker, E J
Format Journal Article
LanguageEnglish
Published United States 01.12.1996
Subjects
Colectomy
Colon - abnormalities
Colon - diagnostic imaging
Colon - surgery
Colonic Diseases - complications
Colonic Diseases - diagnostic imaging
Colonic Diseases - surgery
Colostomy
Humans
Intestinal Obstruction - complications
Intestinal Obstruction - diagnostic imaging
Intestinal Obstruction - surgery
Male
Middle Aged
Radiography
Syndrome
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Summary:Chilaiditi's sign is a radiographic term used when the hepatic flexure of the colon is seen interposed between the liver and right hemidiaphragm. When symptomatic, this is Chilaiditi's syndrome. We report a case of Chilaiditi's syndrome associated with transverse colon volvulus. A 64-yr-old male presented with abdominal pain, vomiting, and constipation. Barium enema demonstrated complete colonic obstruction, leading to operative decompression and right hemicolectomy. This is the second case in the English literature of transverse colon volvulus associated with Chilaiditi's syndrome. Colonic elongation and laxity of colonic and hepatic suspensory ligaments are the principal predisposing factors to these two entities.
ISSN:0002-9270