Aguilar-García César Raúl, García-Acosta Jesús
Servicio de Medicina Interna, Hospital General de Zona 197, Delegación Estado de México Oriente. Instituto Mexicano del Seguro Social, Texcoco, Estado de México, México.
Rev Med Inst Mex Seguro Soc. 2017 Jan-Feb;55(1):114-117.
The interposition of a portion of the colon between the liver and the diaphragm is called Chilaiditi sign and discovered incidentally during radiological study for other reasons and usually asymptomatic presentation. When the discovery is accompanied by clinical symptoms such as abdominal pain, nausea, vomiting, bloating, constipation called Chilaiditi Syndrome. The Chilaiditi sign is a very rare condition, and the Chilaiditi syndrome is even more, especially if associated with other acute diseases. We report the case of a man of 41 years was admitted with right upper quadrant abdominal pain, nausea, vomiting, difficulty was diagnosed with radiographic and tomographic images making the differential diagnosis with lung abscess and diaphragmatic hernia. The final diagnosis was Chilaiditi Syndrome associated with acute pancreatitis and penumonia.
结肠的一部分位于肝脏和膈肌之间被称为奇莱迪蒂征，通常是在因其他原因进行放射学检查时偶然发现的，且一般无明显症状。当这种情况伴有腹痛、恶心、呕吐、腹胀、便秘等临床症状时，则称为奇莱迪蒂综合征。奇莱迪蒂征是一种非常罕见的病症，而奇莱迪蒂综合征更为罕见，尤其是与其他急性疾病相关时。我们报告了一例41岁男性患者，因右上腹疼痛、恶心、呕吐入院，通过放射学和断层扫描图像进行鉴别诊断，排除了肺脓肿和膈疝，最终诊断为与急性胰腺炎和肺炎相关的奇莱迪蒂综合征。
