Hountis Panagiotis, Chounti Maria
ATHENS NAVAL HOSPITAL.
Monaldi Arch Chest Dis. 2017 Jul 18;87(2):775. doi: 10.4081/monaldi.2017.775.
Chilaiditi's sign is the asymptomatic, usually incidental radiographic finding, in which a part of the intestine is located between the liver and the diaphragm. The term Chilaiditi syndrome is referred to cases with symptomatic hepatodiaphragmatic interposition. Chilaiditi's syndrome is usually associated with abdominal or lower thoracic symptoms. We present here the cases of two patients that were admitted with predominantly thoracic atypical pain. During cardiac work up, it was found that there was a concurrent heart disease for which both patients were managed. Although both patients were treated for the heart disease, a full conservative treatment was implemented, having in mind that Chilaiditi's syndrome instead of sign could be responsible for the symptoms. Patients' course was uneventful and they are regularly followed up.
奇莱迪蒂氏征是一种通常偶然发现的无症状影像学表现，即一部分肠管位于肝脏与膈肌之间。奇莱迪蒂综合征这一术语指的是有症状的肝膈间位情况。奇莱迪蒂综合征通常与腹部或下胸部症状相关。我们在此呈现两名以主要为胸部非典型疼痛入院的患者病例。在心脏检查过程中，发现两名患者同时患有心脏病并接受了相应治疗。尽管两名患者均因心脏病接受了治疗，但考虑到奇莱迪蒂综合征而非奇莱迪蒂氏征可能是症状的原因，我们实施了全面的保守治疗。患者病情平稳，目前正在接受定期随访。
