Marco Umberto Scaramozzino*
Director Ambulatory of Pulmonology “La Madonnina” Reggio Calabria (RC), Head of thoracic endoscopy Villa Aurora Hospital Reggio Calabria (RC), ItalyFulltext PDF
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 overlap syndrome (asthma and COPD). The patient is a 64-year-old man who arrived in august 2023 at my facility for episodes of recurrent dyspnea, chest heaviness, wheezing, eructation, dysphagia, epigastric abdominal pain associated with frequent episodes of bronchitis (two in the past year). He performed global spirometry with bronchoreversibility test which showed mixed moderate ventilatory deficit with reduction of small airway volumes, reduced peak expiratory flow and positive response at broncho reversibility tests for asthma. He also performed six-minute walking test, with documented mild latent respiratory failure on exertion. At 1 month, the patient returned to my attention with a CT-scan that showing marked elevation of the left hemidiaphragm with interposition of left colic angle on spleen and phenomena of compressive atelectasis at the inferior left lobe. 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, this confirms the evidence of overlap syndrome (asthma and COPD). The radiological picture was identified by me, and radiologist as Left sided Chilaiditi Syndrome, as the patient had gastrointestinal symptoms which accompanied the procession of respiratory symptoms.
Chilaiditi syndrome; Overlap syndrome (ACO); Asthma; COPD; Case report; Left side
Marco Umberto Scaramozzino, Ubaldo Romeo Plastina, Veronica Nassisi, Giovanni Sapone.A Unusual and Very Rare Case of Patient with Overlap Syndrome And Left Chilaiditi’s Syndrome. Int Jour Gastro Hepat. 2023;2(1):1-6.