A rare cause of renal colic pain: Chilaiditi syndrome


Submitted: October 10, 2014
Accepted: October 10, 2014
Published: September 30, 2014
Abstract Views: 1906
PDF: 978
SUPPLEMENTARY MATERIAL: 418
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Authors

  • Murat Tuncer Dr. Lutfi Kirdar Training and Research Hospital Urology Clinic, Istanbul, Turkey.
  • 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.
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.

Tuncer, M., Sahin, C., Yazici, O., Kafkaslı, A., & Sarica, K. (2014). A rare cause of renal colic pain: Chilaiditi syndrome. Archivio Italiano Di Urologia E Andrologia, 86(3), 229–230. https://doi.org/10.4081/aiua.2014.3.229

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