Chilaiditi syndrome in pediatric patients - Symptomatic hepatodiaphragmatic interposition of colon: A case report and review of literature.
Abdominal pain
Case report
Colon
Constipation
Dyspnea
Rare diseases
Respiratory insufficiency
Journal
World journal of clinical pediatrics
ISSN: 2219-2808
Titre abrégé: World J Clin Pediatr
Pays: United States
ID NLM: 101627548
Informations de publication
Date de publication:
09 May 2021
09 May 2021
Historique:
received:
05
01
2021
revised:
04
02
2021
accepted:
10
03
2021
entrez:
11
5
2021
pubmed:
12
5
2021
medline:
12
5
2021
Statut:
epublish
Résumé
Chilaiditi syndrome is a rare disorder characterized by the hepatodiaphragmatic interposition of the intestine. Here we report a case of a 12-year-old male who was admitted to the pediatric intensive care unit secondary to abdominal pain and severe respiratory distress. He was treated conservatively but the symptoms persisted requiring a surgical approach. While there have been several cases of Chilaiditi syndrome reported in adults, there is a scarcity of cases reported in the pediatric population. Our review of the literature found only 30 pediatric cases, including our reported case, with Chilaiditi syndrome, 19 (63%) of which were male. The median age of diagnosis was 4.5 years old with an interquartile range of 2.0-10.0 years. In our review, we found that the most common predisposing factors in children are aerophagia (12/30 cases) and constipation (13/30 cases). Ninety percent of the cases presented with complete intestinal interposition, in 100% of which, the colon was involved. Three of the 30 cases were associated with volvulus. In the pediatric population, conservative (21/30 cases) and surgical (8/30 cases) treatment approaches have produced satisfactory outcomes for all the patients, regardless of approach.
Sections du résumé
BACKGROUND
BACKGROUND
Chilaiditi syndrome is a rare disorder characterized by the hepatodiaphragmatic interposition of the intestine.
CASE SUMMARY
METHODS
Here we report a case of a 12-year-old male who was admitted to the pediatric intensive care unit secondary to abdominal pain and severe respiratory distress. He was treated conservatively but the symptoms persisted requiring a surgical approach. While there have been several cases of Chilaiditi syndrome reported in adults, there is a scarcity of cases reported in the pediatric population. Our review of the literature found only 30 pediatric cases, including our reported case, with Chilaiditi syndrome, 19 (63%) of which were male. The median age of diagnosis was 4.5 years old with an interquartile range of 2.0-10.0 years. In our review, we found that the most common predisposing factors in children are aerophagia (12/30 cases) and constipation (13/30 cases). Ninety percent of the cases presented with complete intestinal interposition, in 100% of which, the colon was involved. Three of the 30 cases were associated with volvulus.
CONCLUSION
CONCLUSIONS
In the pediatric population, conservative (21/30 cases) and surgical (8/30 cases) treatment approaches have produced satisfactory outcomes for all the patients, regardless of approach.
Identifiants
pubmed: 33972924
doi: 10.5409/wjcp.v10.i3.40
pmc: PMC8085720
doi:
Types de publication
Case Reports
Langues
eng
Pagination
40-47Informations de copyright
©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
Déclaration de conflit d'intérêts
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
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