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伴有奇莱迪蒂征的膈膨出——一种罕见情况。

Eventeration of diaphragm with Chilaiditi sign - A rare occurrence.

作者信息

Sharan Kumar V

机构信息

Department of Pulmonary Medicine, MGMCRI, Puducherry, India.

出版信息

Respir Med Case Rep. 2021 Jun 24;34:101457. doi: 10.1016/j.rmcr.2021.101457. eCollection 2021.

Abstract

Chilaiditi sign, a rare radiographic finding of hepatodiaphragmatic interposition of hollow viscera, colon or bowel, was first described by Demetrius Chilaiditi. Diaphragmatic eventration occurs when there is a partial or entire elevation of the diaphragm due to thinned musculature of the diaphragm itself. We present a case report of a 47 year old male patient who presented to emergency department with breathlessness, fever & chest pain. This case carries a clinical significance as it could have let to a wide range of complications like bowel volvulus, obstruction & perforation.

摘要

奇莱迪蒂征是一种罕见的影像学表现,指中空脏器(结肠或肠)位于肝与膈之间,由德米特里厄斯·奇莱迪蒂首次描述。当膈肌自身肌肉变薄导致膈肌部分或全部抬高时,就会发生膈膨出。我们报告一例47岁男性患者,因呼吸困难、发热和胸痛就诊于急诊科。该病例具有临床意义,因为它可能引发一系列并发症,如肠扭转、梗阻和穿孔。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63e2/8358153/d9afa92c3c70/gr1.jpg

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