Guidelines

How is Chilaiditi syndrome treated?

How is Chilaiditi syndrome treated?

Initial management of Chilaiditi syndrome should include bed rest, intravenous fluid therapy, bowel decompression, enemas, and laxatives. A repeat radiograph following bowel decompression may show disappearance of the air below the diaphragm.

Is Chilaiditi syndrome curable?

Treatment of Chilaiditi syndrome is directed at the individual symptoms present. In some cases, treatment is not needed. Reducing (or removing) the pressure within the abdomen may help alleviate symptoms. This may be achieved through conservative measure that address constipation, pain, and distention.

What is Chilaiditi syndrome?

Chilaiditi’s syndrome is a rare condition in which a portion of the colon is abnormally located (interposed) in between the liver and the diaphragm. The diaphragm is the muscle that separates the chest cavity from the abdomen.

How rare is Chilaiditi?

Chilaiditi syndrome is a rare condition occurring in 0.025% to 0.28% of the population. In these patients, the colon is displaced and caught between the liver and the right hemidiaphragm. Patients’ symptoms can range from asymptomatic to acute intermittent bowel obstruction. Diagnosis is best achieved with CT imaging.

Which side is colon pain?

Gas in the intestine causes pain for some people. When it collects on the left side of the colon, the pain can be confused with heart disease. When it collects on the right side of the colon, the pain may feel like the pain associated with gallstones or appendicitis.

What does free air in the abdomen mean?

The presence of free intra-abdominal gas usually indicates a perforated abdominal viscus. The most common cause is perforation of a peptic ulcer. Patients with such conditions need urgent surgery.

How do you know if something is wrong with your colon?

A persistent change in your bowel habits, including diarrhea or constipation or a change in the consistency of your stool. Rectal bleeding or blood in your stool. Persistent abdominal discomfort, such as cramps, gas or pain. A feeling that your bowel doesn’t empty completely.

Does ulcerative colitis affect your bones?

If you have Crohn’s Disease or Ulcerative Colitis (the two main forms of Inflammatory Bowel Disease – IBD) you may be more likely to develop weaker bones (osteoporosis) or low bone mass. This can mean bones break (fracture) more easily if you have a minor fall.

What is the most common cause of toxic megacolon?

Although inflammatory bowel disease (IBD) is a common reason for toxic megacolon, other etiologies including infections, inflammation, bowel ischemia, radiation, and certain medications can lead to the development of this condition.