A case report: Anaesthetic management of a patient with sub acute intestinal obstruction with chilaiditi syndrome coming for surgery

Abstract

Chilaiditi syndrome is associated with hepatodiaphragmatic interposition of the colon and the small intestines. The radiological finding of colonic interposition between the liver and diaphragm is called chilaiditi sign. This is a rare anomaly incidentally seen on chest or abdominal radiographs. We present a case report of a 52 year old male who got admitted with complaints of abdominal distension and occasional pain after food intake for 5 months duration. The pain was dull aching and not radiating. He gave history of weight loss of about 10 kg over 5 months. His mother had similar complaints of dull aching abdominal pain of which she died. X ray chest showed gross dilatation of descending and transverse colon causing mediastinal shift to right. The CT chest showed emphysematous bullae on the left lobe. The working diagnosis of Chilaiditi syndrome was made. The patient came for surgery with subacute intestional obstruction. Here, in this case report we discuss the anaesthetic management.