Chilaiditi sign is an incidental radiographic finding of a usually asymptomatic condition, where part of the intestine is situated between the liver and the diaphragm. However, the term “Chilaiditi syndrome” is used for symptomatic hepatodiaphragmatic interposition. We report the case of a 15-year-old patient presenting with chronic hepatic colic due to this syndrome, which was diagnosed by abdominal CT scan. Most patients with Chilaiditi syndrome can be managed conservatively. However, surgery is indicated for those who do not respond to conservative management or in cases of suspected serious complications such as ischemia or intestinal perforation. Biliary Atresia (BA) is a rare congenital malformation characterized by an inflammatory and destructive process that obstructs the intra- and extrahepatic bile ducts, leading to rapid progression to complete cholestasis and irreversible biliary cirrhosis, ultimately resulting in the child’s death within the first few years of life. Our case is the rare in the literature indicating the association of Chilaiditi syndrome and biliary atresia.
Author(s) Details:
Khadija Boualiten
Department of Gastroenterology I Unit, Mohamed V-Souissi University, Mohamed V Military Teaching Hospital, Rabat, Morocco.
Adioui
Department of Gastroenterology I Unit, Mohamed V-Souissi University, Mohamed V Military Teaching Hospital, Rabat, Morocco.
I Mouslim
Department of Gastroenterology I Unit, Mohamed V-Souissi University, Mohamed V Military Teaching Hospital, Rabat, Morocco.
S Berrag
Department of Gastroenterology I Unit, Mohamed V-Souissi University, Mohamed V Military Teaching Hospital, Rabat, Morocco.
F Nejjari
Department of Gastroenterology I Unit, Mohamed V-Souissi University, Mohamed V Military Teaching Hospital, Rabat, Morocco.
M Tamzaourte
Department of Gastroenterology I Unit, Mohamed V-Souissi University, Mohamed V Military Teaching Hospital, Rabat, Morocco.
Recent Global Research Developments in Managing Dual Diagnosis: Strategies and Insights
Understanding and Treating Dual Diagnosis: Double the Trouble [1]:
This topical collection of Current Addiction Reports includes five review articles on dual diagnosis.
Patients with both mental illness and substance use disorder represent approximately 8.4% of the general population.
Challenges in studying dual diagnosis arise due to clinical complexities and difficulties in recruiting and retaining participants.
Dual-diagnosed patients tend to have poorer treatment outcomes compared to those with single diagnoses.
The presence of psychiatric symptoms in substance use disorder treatment increases the likelihood of relapse.
Dual Diagnosis: Practice in Context [2]:
This comprehensive international text explores contextual issues related to dual diagnosis.
It delves into contemporary challenges and provides insights for practitioners.
Interventions Targeting Patients with Co-occurring Severe Mental Illness and Substance Use Disorders [3]:
Scoping the literature, researchers found differences in dual diagnosis definitions.
No specific interventions were identified for patients with dual diagnosis (co-occurring severe depression, psychotic or bipolar disorders, and substance use).
References
- Tang, V.M., George, T.P. Understanding and Treating Dual Diagnosis: Double the Trouble. Curr Addict Rep 11, 663–665 (2024). https://doi.org/10.1007/s40429-024-00564-0
- Phillips, P., McKeown, O., & Sandford, T. (Eds.). (2009). Dual diagnosis: practice in context. John Wiley & Sons.
- Tranberg, K., Colnadar, B., Nielsen, M.H. et al. Interventions targeting patients with co-occuring severe mental illness and substance use (dual diagnosis) in general practice settings – a scoping review of the literature. BMC Prim. Care 25, 281 (2024). https://doi.org/10.1186/s12875-024-02504-3
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