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Chilaiditi syndrome: A structural displacement in a heart failure patient.
Song, David; Seen, Tasur; Almas, Talal; Ireifej, Branden; Kupferman, Judah; Khedro, Tarek; Alshamlan, Abdulaziz; Abdulhadi, Abdulaziz; Sattar, Yasar; Alraies, M Chadi.
  • Song D; Icahn School of Medicine at Mount Sinai Elmhurst Hospital, Queens, NY, USA.
  • Seen T; Icahn School of Medicine at Mount Sinai Elmhurst Hospital, Queens, NY, USA.
  • Almas T; Royal College of Surgeons in Ireland, Dublin, Ireland.
  • Ireifej B; Icahn School of Medicine at Mount Sinai Elmhurst Hospital, Queens, NY, USA.
  • Kupferman J; Icahn School of Medicine at Mount Sinai Elmhurst Hospital, Queens, NY, USA.
  • Khedro T; Royal College of Surgeons in Ireland, Dublin, Ireland.
  • Alshamlan A; Royal College of Surgeons in Ireland, Dublin, Ireland.
  • Abdulhadi A; Royal College of Surgeons in Ireland, Dublin, Ireland.
  • Sattar Y; Icahn School of Medicine at Mount Sinai Elmhurst Hospital, Queens, NY, USA.
  • Alraies MC; Division of Interventional Cardiology, Detroit Medical Center, Detroit, MI, USA.
Ann Med Surg (Lond) ; 68: 102687, 2021 Aug.
Article in English | MEDLINE | ID: covidwho-1446377
ABSTRACT

BACKGROUND:

Chilaiditi's sign is often found incidentally on chest or abdominal radiograph and can be accompanied by clinical symptoms such as abdominal pain, gastrointestinal complications, and less commonly associated with dyspnea. CASE PRESENTATION In this interesting case, we discover lingering dyspnea in our 79 year old male with a past medical history of asthma and heart failure with preserved ejection fraction admitted for acute heart failure exacerbation with reduced ejection fraction along with a new incidental finding of Chilaiditi's sign on chest radiograph. Patient received optimal diuretics and guideline-directed medical treatment for heart failure exacerbation, but mild dyspnea with pleuritic chest pain persisted. Dyspnea with pleurisy was likely attributed to a structural anatomical defect (Chilaiditi's sign) that can be picked up on imaging.

CONCLUSION:

Chilaiditi syndrome can be an incidental cause of ongoing persistent dyspnea, and if symptoms are severe, intervention can be warranted for symptomatic resolution. LEARNING

OBJECTIVE:

Chilaiditi syndrome should be considered as a possible diagnosis among patients with a history of heart failure and incidental Chilaiditi's sign on chest radiographic imaging who suffer from persistent dyspnea and pleurisy despite optimal diuretics and guideline-directed medical treatment.
Keywords

Full text: Available Collection: International databases Database: MEDLINE Type of study: Case report / Prognostic study Topics: Long Covid Language: English Journal: Ann Med Surg (Lond) Year: 2021 Document Type: Article Affiliation country: J.amsu.2021.102687

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Case report / Prognostic study Topics: Long Covid Language: English Journal: Ann Med Surg (Lond) Year: 2021 Document Type: Article Affiliation country: J.amsu.2021.102687