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ARTICLE |

Symptom-Producing Interposition of the Colon:  Clinical Syndrome in Mentally Deficient Adults

Christos N. Lekkas, MD; Walter Lentino, MD
JAMA. 1978;240(8):747-750. doi:10.1001/jama.1978.03290080037020.
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Interposition of the colon between the liver and diaphragm, ie, Chilaiditi's syndrome, visible during roentgenographic examination, has been described as an asymptomatic finding in adults of no clinical importance: it is occasionally symptom-producing in children. In mentally retarded adults, however, a unique syndrome commonly occurs, characterized by nausea, pain, vomiting, anorexia, distension, audible bowel sounds, and constipation: all are associated with three roentgenographic features of interposition. The symptoms respond to simple treatment and can be prevented by routine prophylactic measures.

(JAMA 240:747-750, 1978)

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