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TL;DR
A 20-year-old woman with jaundice was found to have biliary obstruction caused by Chilaiditi syndrome, where bowel interposition compressed the liver. She recovered with conservative treatment alone.
ACG Case Reports Journal · 4 authors, 3 centres
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A 20-year-old woman with jaundice was found to have biliary obstruction caused by Chilaiditi syndrome, where bowel interposition compressed the liver. She recovered with conservative treatment alone.
This case report describes a 20-year-old woman with a history of liver torsion and cholecystectomy who presented with jaundice and elevated liver enzymes. Conservative management consisting of intravenous hydration, bowel decompression, and a bowel regimen led to clinical improvement, normalized liver biochemistries, and good bowel function at a two-month follow-up. The authors state this is the first reported case of Chilaiditi syndrome manifesting as obstructive jaundice. The case highlights that even severe portobiliary obstruction from this condition may resolve without surgery.