TRANSVERSE COLON VOLVULUS AND ASSOCIATED CHILAIDITIS SYNDROME - CASE-REPORT AND LITERATURE-REVIEW

Chilaiditi's sign is a radiographic term used when the hepatic flexure of the colon is seen interposed between the liver and right hemidiaph ragm. When symptomatic, this is Chilaiditi's syndrome. We report a cas e of Chilaiditi's syndrome associated with transverse colon volvulus. A 64-yr-old male presented with abdominal pain, vomiting, and constipa tion. Barium enema demonstrated complete colonic obstruction, leading to operative decompression and right hemicolectomy. This is the second case in the English literature of transverse colon volvulus associate d with Chilaiditi's syndrome. Colonic elongation and laxity of colonic and hepatic suspensory ligaments are the principal predisposing facto rs to these two entities.