title: [Chilaiditi's syndrome complicated by subdiaphragmatic perforated appendicitis: unusual manifestation of a rare condition].
abstract: We report on a case of an 80-year-old female patient who presented to the emergency room of with right upper quadrant abdominal pain since the day before. During the initial diagnostic an abdominal x-ray study revealed an air-filled colonic section of the bowel under the right hemidiaphragm corresponding to Chilaiditi's sign. The clinical symptoms and laboratory results were mild at this time. After 12 h the patient developed right upper quadrant peritonitis due to a perforated, subdiaphragmatic appendicitis based on Chilaiditi's syndrome. During surgical treatment the cecum and parts of the ascending colon were found to be interposed between the liver and right hemidiaphragm. A right hemicolectomy was performed which led to complete recovery of the patient. In addition to presenting this interesting case this article highlights the regime of the diagnostics and therapy of a complication of the very rare condition of Chilaiditi's syndrome.
authors: Klinik für Allgemein- und Viszeralchirurgie, Weisseritztal-Kliniken GmbH, Freital, Deutschland. Matthias.Lenz@weisseritztal-kliniken.de
authors: M
authors: M
authors: Lenz
authors: M
authors: M
authors: Kindler
authors: M
authors: M
authors: Schilling
authors: T
authors: T
authors: Pollack
authors: W
authors: W
authors: Schwab
authors: M
authors: M
authors: Becker
mesh_terms: D000369:Aged, 80 and over; D001064:Appendicitis / Q000150:complications* / Q000000981:diagnostic imaging* / Q000601:surgery; D059269:Chilaiditi Syndrome / Q000150:complications* / Q000000981:diagnostic imaging* / Q000601:surgery; D003082:Colectomy / Q000379:methods; D044682:Colon, Ascending / Q000000981:diagnostic imaging / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D010538:Peritonitis / Q000000981:diagnostic imaging / Q000601:surgery; D014057:Tomography, X-Ray Computed