Document Detail

Splenic flexure volvulus in association with Chilaiditi syndrome: report of a case.
MedLine Citation:
PMID:  10484093     Owner:  NLM     Status:  MEDLINE    
Hepatodiaphragmatic interposition of the intestine, or Chilaiditi syndrome, is uncommon and typically asymptomatic, but it can be associated with symptoms ranging from intermittent, mild abdominal pain to acute intestinal obstruction. Factors such as the interruption or absence of peritoneal attachments and redundant colon with a long mesentery predispose to both Chilaiditi syndrome and colonic volvulus. The presence of hepatodiaphragmatic interposition of the intestine requires no specific treatment in the absence of symptoms. Colonic volvulus in association with Chilaiditi syndrome is treated based on the location of the volvulus. Volvulus of the splenic flexure is typically treated with resection and primary anastomosis. We report only the third case of colonic volvulus in association with Chilaiditi syndrome and the first with volvulus of the splenic flexure.
K A Havenstrite; J A Harris; D E Rivera
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  The American surgeon     Volume:  65     ISSN:  0003-1348     ISO Abbreviation:  Am Surg     Publication Date:  1999 Sep 
Date Detail:
Created Date:  1999-09-23     Completed Date:  1999-09-23     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  0370522     Medline TA:  Am Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  874-6     Citation Subset:  IM    
Department of Surgery, Dwight David Eisenhower Army Medical Center, Ft. Gordon, Georgia 30905, USA.
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MeSH Terms
Colon / radiography,  surgery
Colonic Diseases / diagnosis*,  etiology,  surgery
Intestinal Obstruction / diagnosis*,  etiology,  surgery
Ligaments / abnormalities

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