A rare cause of renal colic pain: Chilaiditi syndrome

  • Murat Tuncer | murattuncer77@hotmail.com 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.

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.

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Published
2014-09-30
Info
Issue
Section
Case Reports - Stones and Infections
Keywords:
Chilaiditi Syndrome, Renal colic, Hepatodiaphragmatic interposition
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How to Cite
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