Letters to the Editor| Volume 57, ISSUE 4, P574, October 2019

The Chicken or the Egg – Chilaiditi and Constipation

      We would like to thank the editor for sharing with us the case titled “Upgrade of Chilaiditi sign to syndrome: are there any predisposing factors?” The authors present an interesting case of a young boy with a known case of hypothyroidism on thyroxine, presenting with constipation. The incidental finding of Chilaiditi syndrome in a patient with hypothyroidism raises an interesting conundrum: chronic constipation due to hypothyroidism that may have caused Chilaiditi syndrome vs. primary Chilaiditi sign that may have been followed with constipation complaints. Both situations are probable and have been recorded in the literature (
      • Moaven O.
      • Hodin R.A.
      Chilaiditi syndrome: a rare entity with important differential diagnoses.
      ). Perhaps a second look at the patient's history may aid in distinguishing between the two.
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        • Moaven O.
        • Hodin R.A.
        Chilaiditi syndrome: a rare entity with important differential diagnoses.
        Gastroenterol Hepatol (N Y). 2012; 8: 276-278
        • Van Den Heede K.
        • Van Slycke S.
        The Chilaiditi syndrome: another Greek tragedy? Case report and short review of literature.
        Acta Chir Belg. 2014; 114: 352-354

      Linked Article

      • Upgrade of Chilaiditi Sign to Syndrome: Are There Any Predisposing Factors?
        Journal of Emergency MedicineVol. 57Issue 4
        • Preview
          We have read with great interest the article, “Chilaiditi syndrome-what's air doing there?” by Hussain et al. regarding this uncommon (incidence 0.025–0.28%) radiological and clinical entity (1). The radiological sign is an asymptomatic visceral interposition, most often of the colon, between the diaphragm and the liver, referred to as the Chilaiditi sign, and the clinical presentation of symptoms is known as the Chilaiditi syndrome.
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      • Chilaiditi Syndrome—What's Air Doing There?
        Journal of Emergency MedicineVol. 55Issue 5
        • Preview
          Chilaiditi sign refers to the asymptomatic interposition of bowel between the liver and the diaphragm. If the patient presents with signs or complaints, it is referred to as Chilaiditi syndrome. While benign, the importance of differentiating between this condition and other diagnoses is not to be underestimated in clinical practice.
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        • PDF