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A rare cause of renal colic pain: Chilaiditi syndrome

Murat Tuncer, Cahit Sahin, Ozgur Yazici, Alper Kafkaslı, Kemal Sarica
  • Cahit Sahin
    Dr. Lutfi Kirdar Training and Research Hospital Urology Clinic, Istanbul, Turkey
  • Ozgur Yazici
    Dr. Lutfi Kirdar Training and Research Hospital Urology Clinic, Istanbul, Turkey
  • Alper Kafkaslı
    Dr. Lutfi Kirdar Training and Research Hospital Urology Clinic, Istanbul, Turkey
  • Kemal Sarica
    Dr. Lutfi Kirdar Training and Research Hospital Urology Clinic, Istanbul, Turkey

Abstract

Chilaiditi syndrome, first described in 1910 by the radiologist Chilaiditi from Vienna, is the interposition of right colon between liver and right hemi diaphragm. It occurs most often in males and its incidence increases with age. It is often detected incidentally during radiological examination. It’s rarely symptomatic; symptoms can differ from mild abdominal pain to severe acute intestinal obstruction. Our case applied to emergency service with right flank pain. There was no calculus or dilatation in the urinary system at non-contrast abdominopelvic computerized tomography. Ascending colon was interposed between liver and diaphragm so that the patient was diagnosed as Chiliaditi syndrome. The patient was treated conservatively and discharged with dietary suggestions by the gastroenterology consultant. The conclusion of this report is that the Chilaiditi syndrome must be considered in differential diagnosis for patients presenting with urinary colic pain symptoms with no urinary pathology on radiologic imaging.

Keywords

Chilaiditi Syndrome; Renal colic; Hepatodiaphragmatic interposition

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Submitted: 2014-10-10 11:35:12
Published: 2014-09-30 00:00:00
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Copyright (c) 2014 Murat Tuncer, Cahit Sahin, Ozgur Yazici, Alper Kafkaslı, Kemal Sarica

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