Palabras clave
Síndrome de Chilaiditi
Enfermedad Pulmonar Obstructiva Crónica
Radiografía Torácica
Enfermedad Pulmonar Obstructiva Crónica
Radiografía Torácica
Cómo citar
Estévez-Ramírez, G. M., Jiménez-Andrade, V. C., & Fajardo-Rivero, J. E. (2018). Signo de Chilaiditi como hallazgo incidental en un paciente con enfermedad respiratoria: reporte de caso. Médicas UIS, 31(3), 57–61. https://doi.org/10.18273/revmed.v31n3-2018006
Resumen
El signo de Chilaiditi es un hallazgo radiográfico infrecuente que consiste en la interposición de un asa intestinal entre el hígado y el diafragma. No existe etiología claramente establecida; sin embargo, se han planteado varias hipótesis que explican su presencia, entre ellos la hiperlaxitud de los ligamentos suspensorios del hígado, el aumento de la presión intraabdominal y la redundancia colónica. Al asociarse este hallazgo con síntomas gastrointestinales o respiratorios se denomina síndrome de Chilaiditi, y su tratamiento principalmente es sintomático, en casos excepcionales requiere abordaje quirúrgico. Este signo se encuentra usualmente de manera incidental y se ha visto una relación con enfermedad respiratoria crónica; pudiendo afectar su curso clínico, motivando a profundizar en el estudio integral. Se presenta el caso de un paciente adulto mayor, en seguimiento médico por enfermedad pulmonar obstructiva crónica, cuya radiografía de tórax evidencia la interposición de un asa intestinal entre la cúpula diafragmática derecha y el hígado. MÉD.UIS. 2018;31(3):57-61.
Referencias
1. Aguilar-García CR, García-Acosta J. Signo y síndrome de Chilaiditi. Reporte de caso. Rev Med Inst Mex Seguro Soc. 2017;55(1):114-7.
2. Chen YY, Chang H, Lee SC, Huang TW. Chilaiditi syndrome presenting as chest pain in an adult patient: a case report. J Med Case Rep. 2014;8(1).
3. Aguilar-García CR, García-Acosta J. Signo y síndrome de Chilaiditi. Reporte de caso. Rev Med Inst Mex Seguro Soc. 2017;55(1):114-7.
4. Hountis P, Chounti M. Chilaiditi’s sign or syndrome? Diagnostic question in two patients with concurrent cardiovascular diseases. Monaldi Arch Chest Dis. 2017;87(2).
5. Tangri N, Singhal S, Sharma P, Mehta D, Bansal S, Bhushan N, et
al. Coexistence of pneumothorax and chilaiditi sign: A case report.
Asian Pac J Trop Biomed. 2014;4(1):75–7.
6. Flores N, Ingar C, Sánchez J, Fernández J, Lazarte C, Málaga J, et al.
Reporte de casos. Síndrome de Chilaiditi complicado con Vólvulo
de Colon transverso. Rev Gastroenterol Perú. 2005;25(3):279–84.
7. Hsu HL, Liu KL. Hepatodiaphragmatic interposition of the colon.
Cmaj. 2011;183(2):92117.
8. Weng WH, Liu DR, Feng CC, Que RS. Colonic interposition
between the liver and left diaphragm - management of chilaiditi
syndrome: A case report and literature review. Oncol Lett.
2014;7(5):1657–60.
9. Bredolo F, Esposito A, Casiraghi E, Cornalba G, Biondetti P.
Intestinal interposition: the prevalence and clinical relevance
of non-hepatodiaphragmatic conditions (non-Chilaiditi forms)
documented by CT and review of the literature. Radiol Med.
2011;116(4):607–19.
10. Murphy JM, Maibaum A, Alexander G, Dixon AK. Chilaiditi’s
Syndrome and Obesity. Clinic Anat. 2000;13(3):181–4.
11. Zhang R, Tan J, Zhang G, Wang R. Chilaiditi syndrome with an
unusual radiographic image: A crescent-shaped liver. Dig Liver.
2017;49(4):452.
12. Gil Díaz MJ, Murillo Gómez M, Jiménez González P. Signo y
síndrome de Chilaiditi: Entidades a tener en cuenta. Semergen.
2011;37(5):267–9.
13. Nair N, Takieddine Z, Tariq H. Colonic interposition between the
liver and diaphragm: “the chilaiditi sign.” Can J Gastroenterol
Hepatol. 2016;2016:4–5.
14. Moaven O, Hodin RA. Chilaiditi syndrome: A rare entity
with important differential diagnoses. Gastroenterol Hepatol.
2012;8(4):276–8.
15. Longo WE. Image of the Month-Quiz Case. Arch Surg.
2008;143(1):93. doi:10.1001/archsurg.2007.12-a
16. Alva S, Shetty-Alva N, Longo WE. Image of the month. Chilaiditi
sign or syndrome. Arch Surg. 2008;143(1):94. doi:10.1001/
archsurg.2007.12-b
17. Garg K, Mohapatra PR, Aggarwal D, Gupta R, Janmeja AK.
Interstitial lung disease with chilaiditi syndrome. J Clin
Diagnostic Res. 2016;10(12):TD04–5.
18. Uygungul E, Uygungul D, Ayrik C, Narci H, Bozkurt S, Köse A.
Chilaiditi sign: Why are clinical findings more important in ED?.
Am J Emerg Med. 2015; 33(5):733.e1–733.e2.
19. Lopez C, Lopez E, Iannuzzelli C, Sanchiz B. Signo de Chilaiditi
como hallazgo casual. [En internet] Revista Atalaya Médica.
2015; 8. Disponible en: http://atalayamedica.comteruel.org/
index.php/revista/article/view/110/116.
20. Kumar S, Singh GV, Singh R, Singh DP. Rare association B/W
respiratory distress and chilaiditi syndrome. Indian J Allergy
Asthma Immunol 2012;26(8):9–10.
21. Westerwel PE. Hemmer JM. Displaced Colon: Chilaiditi´s sign.
Intern Med J. 2004;(34):440.
22. Tuncer M, Sahin C, Yazici O, Kafkasli A, Sarica K. A rare cause of
renal colic pain: Chilaiditi syndrome. Arch Ital di Urol Androl.
2014;86(3):229–30+229a.
23. Okiro JO. Chilaiditi syndrome mimicking congestive heart
failure. BMJ Case Rep. Published Online First: [15 Feb 2018].
doi:10.1136/bcr-2017- 220811.
24. Kang D, Pan AS, Lopez M a, Buicko JL, Lopez-Viego M. Acute
abdominal pain secondary to chilaiditi syndrome. Case Rep Surg.
2013;2013:756590.
25. Indiran V, Kannan K, Ramachandra Prasad T, Maduraimuthu P.
Chilaiditi sign. Abdom Radiol. 2017;42(8):2188–9.
26. Boddy ST, McDonnell D, Mayo D, Nichols P. Chilaiditi’s
syndrome as a cause for shock. BMJ Case Rep. 2015. doi:10.1136/
bcr-2014-207743
27. Melester T, Burt ME. Chilaiditi’s Syndrome: Report of three
cases. JAMA. 1985;254(7):944-945.
28. Cetin D, Unübol M, Soyder A, Güney E, Coşkun A, Ozbaş
S, et al. Coexistence of Multiple Endocrine Neoplasia Type
2B and Chilaiditi Sign: A Case Report. Case Rep Endocrinol.
2012;2012:360328.
29. Antonacci N, Di Saverio S, Biscardi A, Giorgini E, Villani S,
Tugnoli G. Dyspnea and large bowel obstruction: A misleading
Chilaiditi syndrome. Am J Surg. 2011;202(5):e45–7.
2. Chen YY, Chang H, Lee SC, Huang TW. Chilaiditi syndrome presenting as chest pain in an adult patient: a case report. J Med Case Rep. 2014;8(1).
3. Aguilar-García CR, García-Acosta J. Signo y síndrome de Chilaiditi. Reporte de caso. Rev Med Inst Mex Seguro Soc. 2017;55(1):114-7.
4. Hountis P, Chounti M. Chilaiditi’s sign or syndrome? Diagnostic question in two patients with concurrent cardiovascular diseases. Monaldi Arch Chest Dis. 2017;87(2).
5. Tangri N, Singhal S, Sharma P, Mehta D, Bansal S, Bhushan N, et
al. Coexistence of pneumothorax and chilaiditi sign: A case report.
Asian Pac J Trop Biomed. 2014;4(1):75–7.
6. Flores N, Ingar C, Sánchez J, Fernández J, Lazarte C, Málaga J, et al.
Reporte de casos. Síndrome de Chilaiditi complicado con Vólvulo
de Colon transverso. Rev Gastroenterol Perú. 2005;25(3):279–84.
7. Hsu HL, Liu KL. Hepatodiaphragmatic interposition of the colon.
Cmaj. 2011;183(2):92117.
8. Weng WH, Liu DR, Feng CC, Que RS. Colonic interposition
between the liver and left diaphragm - management of chilaiditi
syndrome: A case report and literature review. Oncol Lett.
2014;7(5):1657–60.
9. Bredolo F, Esposito A, Casiraghi E, Cornalba G, Biondetti P.
Intestinal interposition: the prevalence and clinical relevance
of non-hepatodiaphragmatic conditions (non-Chilaiditi forms)
documented by CT and review of the literature. Radiol Med.
2011;116(4):607–19.
10. Murphy JM, Maibaum A, Alexander G, Dixon AK. Chilaiditi’s
Syndrome and Obesity. Clinic Anat. 2000;13(3):181–4.
11. Zhang R, Tan J, Zhang G, Wang R. Chilaiditi syndrome with an
unusual radiographic image: A crescent-shaped liver. Dig Liver.
2017;49(4):452.
12. Gil Díaz MJ, Murillo Gómez M, Jiménez González P. Signo y
síndrome de Chilaiditi: Entidades a tener en cuenta. Semergen.
2011;37(5):267–9.
13. Nair N, Takieddine Z, Tariq H. Colonic interposition between the
liver and diaphragm: “the chilaiditi sign.” Can J Gastroenterol
Hepatol. 2016;2016:4–5.
14. Moaven O, Hodin RA. Chilaiditi syndrome: A rare entity
with important differential diagnoses. Gastroenterol Hepatol.
2012;8(4):276–8.
15. Longo WE. Image of the Month-Quiz Case. Arch Surg.
2008;143(1):93. doi:10.1001/archsurg.2007.12-a
16. Alva S, Shetty-Alva N, Longo WE. Image of the month. Chilaiditi
sign or syndrome. Arch Surg. 2008;143(1):94. doi:10.1001/
archsurg.2007.12-b
17. Garg K, Mohapatra PR, Aggarwal D, Gupta R, Janmeja AK.
Interstitial lung disease with chilaiditi syndrome. J Clin
Diagnostic Res. 2016;10(12):TD04–5.
18. Uygungul E, Uygungul D, Ayrik C, Narci H, Bozkurt S, Köse A.
Chilaiditi sign: Why are clinical findings more important in ED?.
Am J Emerg Med. 2015; 33(5):733.e1–733.e2.
19. Lopez C, Lopez E, Iannuzzelli C, Sanchiz B. Signo de Chilaiditi
como hallazgo casual. [En internet] Revista Atalaya Médica.
2015; 8. Disponible en: http://atalayamedica.comteruel.org/
index.php/revista/article/view/110/116.
20. Kumar S, Singh GV, Singh R, Singh DP. Rare association B/W
respiratory distress and chilaiditi syndrome. Indian J Allergy
Asthma Immunol 2012;26(8):9–10.
21. Westerwel PE. Hemmer JM. Displaced Colon: Chilaiditi´s sign.
Intern Med J. 2004;(34):440.
22. Tuncer M, Sahin C, Yazici O, Kafkasli A, Sarica K. A rare cause of
renal colic pain: Chilaiditi syndrome. Arch Ital di Urol Androl.
2014;86(3):229–30+229a.
23. Okiro JO. Chilaiditi syndrome mimicking congestive heart
failure. BMJ Case Rep. Published Online First: [15 Feb 2018].
doi:10.1136/bcr-2017- 220811.
24. Kang D, Pan AS, Lopez M a, Buicko JL, Lopez-Viego M. Acute
abdominal pain secondary to chilaiditi syndrome. Case Rep Surg.
2013;2013:756590.
25. Indiran V, Kannan K, Ramachandra Prasad T, Maduraimuthu P.
Chilaiditi sign. Abdom Radiol. 2017;42(8):2188–9.
26. Boddy ST, McDonnell D, Mayo D, Nichols P. Chilaiditi’s
syndrome as a cause for shock. BMJ Case Rep. 2015. doi:10.1136/
bcr-2014-207743
27. Melester T, Burt ME. Chilaiditi’s Syndrome: Report of three
cases. JAMA. 1985;254(7):944-945.
28. Cetin D, Unübol M, Soyder A, Güney E, Coşkun A, Ozbaş
S, et al. Coexistence of Multiple Endocrine Neoplasia Type
2B and Chilaiditi Sign: A Case Report. Case Rep Endocrinol.
2012;2012:360328.
29. Antonacci N, Di Saverio S, Biscardi A, Giorgini E, Villani S,
Tugnoli G. Dyspnea and large bowel obstruction: A misleading
Chilaiditi syndrome. Am J Surg. 2011;202(5):e45–7.
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
Derechos de autor 2018 Revista Médicas UIS
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