Letters to the Editor| Volume 57, ISSUE 4, P573-574, October 2019

Upgrade of Chilaiditi Sign to Syndrome: Are There Any Predisposing Factors?

      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 (
      • Hussain S.
      • Hussain S.
      • Hussain S.
      Chilaiditi syndrome-what’s air doing there?.
      ). 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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        • Hussain S.
        • Hussain S.
        • Hussain S.
        Chilaiditi syndrome-what’s air doing there?.
        J Emerg Med. 2018; 55: e131-e132
        • Evrengül H.
        • Yüksel S.
        • Orpak S.
        • Özhan B.
        • Agladioglu K.
        Chilaiditi syndrome.
        J Pediatr. 2016; 173: 260
        • Moaven O.
        • Hodin R.A.
        Chilaiditi syndrome: a rare entity with important differential diagnoses.
        Gastroenterol Hepatol (NY). 2012; 8: 276-278
        • Ghani S.
        • Course C.W.
        • Bodla H.P.
        From sign to syndrome: Chilaiditi.
        Arch Dis Child. 2017; 102: 1117

      Linked Article

      • The Chicken or the Egg – Chilaiditi and Constipation
        Journal of Emergency MedicineVol. 57Issue 4
        • Preview
          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.
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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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