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International Journal of Anatomical Variations

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Ute Nimtschke1, Matthias Lenz2 and Wolfgang Schwab1*
 
1 Institute of Anatomy, Medical Faculty, TU Dresden, Fetscherstraße 74, D-01307 Dresden, Germany, Email: utenimtschke@gmail.com
2 Department of General and Visceral Surgery, Weißeritztal-Kliniken GmbH, Bürgerstraße 7, D-01705 Freital, Germany
 
*Correspondence: Wolfgang Schwab, Institute of Anatomy, Medical Faculty, TU Dresden, Fetscherstraße 74, D-01307 Dresden, Germany, Tel: +49 (351) 4586114, Email: wolfgang.schwab@tu-dresden.de

Received: 21-Nov-2013 Accepted Date: Mar 15, 2014; Published: 10-Feb-2015

This open-access article is distributed under the terms of the Creative Commons Attribution Non-Commercial License (CC BY-NC) (http://creativecommons.org/licenses/by-nc/4.0/), which permits reuse, distribution and reproduction of the article, provided that the original work is properly cited and the reuse is restricted to noncommercial purposes. For commercial reuse, contact reprints@pulsus.com

Abstract

The present study contains a detailed anatomical description of a hepatodiaphragmatic interposition of the colon that corresponds to the signs of Chilaiditi and that has been found during routine dissection in the anatomical dissection course. The right colic flexure (hepatic flexure), the transverse colon and parts of the greater omentum were located in the left subphrenic recess. The hepatodiaphragmal interposition of the colon was associated with a sliding hiatus hernia of the stomach. A large portion of the stomach together with the corresponding section of the gastrocolic ligament was dislocated in the thoracic cavity.

In addition, postulated mechanisms in the etiology of the hepatodiaphragmatic interposition of the intestine were discussed, especially the malrotation and malfixation of the colon as predisposing factors for Chilaiditi signs. Whether there is a mechanical reason between the herniated stomach and the malrotated/malfixed colon remains to be resolved.

 
Google Scholar citation report
Citations : 2426

International Journal of Anatomical Variations received 2426 citations as per Google Scholar report

International Journal of Anatomical Variations peer review process verified at publons
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