Chilaiditi Syndrome Complicated by Cecal Perforation in the Setting of Scleroderma. (September 2018)

• Record Type: Journal Article
• Authors: Sunkara, Tagore; Rawla, Prashanth; Yarlagadda, Krishna Sowjanya; Baltazar, Gerald A.; Gaduputi, Vinaya
• Is Part Of: Journal of investigative medicine high impact case reports. Volume 6(2018)
• Publication Date: 2018-09
• Subjects: Chilaiditi syndrome -- colon perforation -- abdominal pain -- scleroderma; Internal medicine -- Periodicals; Medical care -- Periodicals; 616.005
• DOI: 10.1177/2324709618803387
• Languages: English
• ISSNs: 2324-7096

Abstract

Chilaiditi syndrome is a very rare disorder characterized by abdominal pain due to the entrapment of the colon between the liver and the diaphragm. However, it is rare to have bowel perforation as a complication of this syndrome with only 2 cases reported to date. In this article, we present the case of a 56-year-old woman with medical history of scleroderma who presents with abdominal pain and was found to have colonic perforation from Chilaiditi syndrome. She was also incidentally found to have cecal adenocarcinoma. Sometimes abdominal pain in patients with Chilaiditi syndrome may be more than benign and calls for increased attention from clinicians regarding this.