{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T12:09:30Z","timestamp":1747224570640,"version":"3.40.5"},"reference-count":10,"publisher":"PAGEPress Publications","license":[{"start":{"date-parts":[[2023,10,12]],"date-time":"2023-10-12T00:00:00Z","timestamp":1697068800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Monaldi Arch Chest Dis"],"abstract":"<jats:p>The following case report aims to highlight the rarity of the case in question, in which there is left Chilaiditi syndrome in a patient with bronchial asthma. The patient is a 79-year-old woman who arrived in January 2023 at my facility for episodes of recurrent dyspnea, chest heaviness, wheezing, eructation, dysphagia, epigastric abdominal pain associated with frequent episodes of bronchitis. He performed simple spirometry which showed mixed mild-moderate ventilatory deficit with reduction of small airway volumes, reduced peak expiratory flow and negative broncho reversibility tests for asthma. At 3 months, the patient returned to my attention with a chest radiograph showing marked elevation of the left hemidiaphragm with deviation of the cardiac shadow to the right. He repeated the spirometry which resulted in a clear improvement compared to the previous control with an important variation of the peak respiratory flow during ICS\/LABA, the objective finding previously found disappeared, this indicating the presence of an underlying bronchial asthma. The radiological picture was identified by me as Left Chilaiditi Syndrome, as the patient had gastrointestinal symptoms which accompanied the procession of respiratory symptoms. The diagnostic suspicion must be early in these pathologies and the proton pump inhibitors and new generation alginates with the presence of hyaluronic acid and melatonin must also be included in the treatment of the symptoms, which have an important action on gastroesophageal reflux disease (GERD) secondary to this herniation of the viscera into the thoracic cavity. The rarity is represented by the left localization of the diaphragmatic pathology.<\/jats:p>","DOI":"10.4081\/monaldi.2023.2648","type":"journal-article","created":{"date-parts":[[2023,10,12]],"date-time":"2023-10-12T13:55:22Z","timestamp":1697118922000},"source":"Crossref","is-referenced-by-count":0,"title":["A rare case of asthmatic patient with left Chilaiditi\u2019s syndrome"],"prefix":"10.4081","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-7271-4970","authenticated-orcid":false,"given":"Marco Umberto","family":"Scaramozzino","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7163-2270","authenticated-orcid":false,"given":"Guido","family":"Levi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-2997-9181","authenticated-orcid":false,"given":"Ubaldo Romeo","family":"Plastina","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giovanni","family":"Sapone","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2549","published-online":{"date-parts":[[2023,10,12]]},"reference":[{"key":"32259","doi-asserted-by":"crossref","unstructured":"Shinha T. Chilaiditi syndrome. Intern Med 2017;56:1125-6.","DOI":"10.2169\/internalmedicine.56.8147"},{"key":"32260","doi-asserted-by":"crossref","unstructured":"Ali F, Srinivas S, Akbar Khan HM, Reddy D. Chilaiditi syndrome: a rare case of chest pain due to colonic interposition. Cureus 2020;12:e9288.","DOI":"10.7759\/cureus.9288"},{"key":"32261","doi-asserted-by":"crossref","unstructured":"Hountis P, Chounti M. Chilaiditi sign or syndrome? Diagnostic question in two patients with concurrent cardiovascular diseases. Monaldi Arch Chest Dis 2017;87:775.","DOI":"10.4081\/monaldi.2017.775"},{"key":"32262","doi-asserted-by":"crossref","unstructured":"Karaman O, Kahyaoglu M, Alpay E, et al. Chilaiditi syndrome. Korean J Intern Med 2018;33:1255.","DOI":"10.3904\/kjim.2016.403"},{"key":"32263","unstructured":"Moaven O, Hodin RA. Chilaiditi syndrome: a rare entity with important differential diagnoses. Gastroenterol Hepatol (N Y) 2012;8:276-8."},{"key":"32264","doi-asserted-by":"crossref","unstructured":"Saber AA, Boros MJ. Chilaiditi's syndrome: what should every surgeon know? Am Surg 2005;71:261-3.","DOI":"10.1177\/000313480507100318"},{"key":"32265","doi-asserted-by":"crossref","unstructured":"Mishra A, Shrestha AL. Chilaiditi syndrome in a Nepalese girl - A potential mislead! Int J Surg Case Rep 2022;91:106808.","DOI":"10.1016\/j.ijscr.2022.106808"},{"key":"32266","doi-asserted-by":"crossref","unstructured":"Sotiropoulos C, Sakka E, Diamantopoulou G, et al. Chilaiditi syndrome with a large colonic loop in a patient with autonomic nervous system dysfunction. Cureus 2021;13:e15877.","DOI":"10.7759\/cureus.15877"},{"key":"32267","doi-asserted-by":"crossref","unstructured":"Evreng\u00fcl H, Y\u00fcksel S, Orpak S, et al. Chilaiditi syndrome. J Pediatr 2016;173:260.","DOI":"10.1016\/j.jpeds.2016.02.060"},{"key":"32268","doi-asserted-by":"crossref","unstructured":"Rodr\u00edguez-Mart\u00ednez JA. S\u00edndrome de Chilaiditi izquierdo, un caso raro. Imagen Diagn\u00f3stica 2017;8:58-9.","DOI":"10.1016\/j.imadi.2017.04.001"}],"container-title":["Monaldi Archives for Chest Disease"],"original-title":[],"link":[{"URL":"https:\/\/www.monaldi-archives.org\/index.php\/macd\/article\/download\/2648\/1796","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.monaldi-archives.org\/index.php\/macd\/article\/download\/2648\/1796","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,12]],"date-time":"2023-10-12T13:55:26Z","timestamp":1697118926000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.monaldi-archives.org\/index.php\/macd\/article\/view\/2648"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10,12]]},"references-count":10,"URL":"https:\/\/doi.org\/10.4081\/monaldi.2023.2648","relation":{},"ISSN":["2532-5264","1122-0643"],"issn-type":[{"type":"electronic","value":"2532-5264"},{"type":"print","value":"1122-0643"}],"subject":[],"published":{"date-parts":[[2023,10,12]]}}}