Patient with Chilaiditi syndrome, later diagnosed with a small invasive appendiceal adenocarcinoma
This article describes the case of a 73-year-old female patient diagnosed with chilaiditi syndrome, with the symptoms of intermittent right-sided abdominal pain and bulge. The patient’s history revealed atrial fibrillation and mitral valve prolapse. According to the patient, the symptoms initially started approximately 10 years ago, however, subsided spontaneously. This time around she presented with a severe episode of coughing. Since then the pain had been recurring and would remit spontaneously.
She had earlier presented with these symptoms to the emergency department in years 2013 and 2015. Both times, her investigations were negative. In addition, doctors advised the patient to undergo a colonoscopy in 2016, which was also normal. The symptoms recurred in 2017 which prompted another visit to the emergency department. Repeat CT at the time showed some mild periappendical stranding.
Doctors decided on a laparoscopic right colectomy based on the radiological findings and the duration of symptoms which increased in frequency and severity. The patient’s recovery period was uneventful. During the laparoscopic exploration it was seen that the colon and liver were no longer interposed. And the only abnormal findings were redundant proximal transverse colon. As noted on the CT scan, the colon could be easily configured. In addition, the appendix was grossly normal.
Doctors discharged the patient on the 3rd day after the procedure with no complications. Although the patient was diagnosed with Chilaiditi syndrome, final pathology also showed a small invasive appendiceal adenocarcinoma. However, with negative lymph nodes and negative margins.
Chilaiditi Syndrome: A Case Report Highlighting the Intermittent Nature of the Disease https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6032975/