Chilaiditi Syndrome

  title={Chilaiditi Syndrome},
  author={Juan E. Corral and Seth N Sclair and Baharak Moshiree},
  journal={The American Journal of Gastroenterology},
A 76-year-old woman was seen in clinic for new-onset melena. During a colonoscopy, we were unable to advance the scope beyond the sigmoid colon owing to severe redundancy and narrowing. (Left) Esophagogastroduodenoscopy revealed diffuse hyperpigmentation of the duodenum, from which a biopsy specimen was obtained. (Center) Pathology revealed pigment deposition in the duodenal macrophages (CD68 stain, ×10 magnification), evidence of pseudomelanosis duodeni. Computed tomography of the abdomen and… CONTINUE READING