Viscerohepatodiaphragmatic interposition (Chilaiditi's syndrome) in a child.
Viscerohepatodiaphragmatic interposition or Chilaiditi's syndrome is a rare congenital anomaly characterised by subphrenic displacement of the intestine resulting from a congenital anomaly of the hepatic ligaments. A six-year-old asymptomatic girl was screened for tuberculosis as her father was suffering from sputum-positive pulmonary tuberculosis. The chest radiograph showed normal lung fields, but a gaseous shadow was seen beneath the right dome of the diaphragm, which was confirmed, to be a case of Chilaiditi's syndrome on abdominal radiographs and ultrosonography. Although initially thought to be a benign condition, Chilaiditi's syndrome has been cited to be an important cause of acute abdomen. It is, therefore, important that the clinicians are aware of the condition when treating such a child.
Parmar
Ramesh C
RC
Department of Paediatrics, Seth GS Medical College and KEM Hospital, Mumbai 400012.
Sahu
Devkumar R
DR
Tullu
Milind S
MS
Bavdekar
S B
SB
D002648:Child; D003106:Colon / Q000002:abnormalities* / Q000000981:diagnostic imaging; D003964:Diaphragm / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D008099:Liver / Q000000981:diagnostic imaging; D011859:Radiography; D013577:Syndrome