Pokhrel Apil, Adhikari Aramva Bikram, Pandey Aishwarya, Thapa Anjila, Bajpai Swmaya, Hirachan Suzita, Singh Yogendra Prasad
Maharajgunj Medical Campus, Tribhuvan University Institute of Medicine, Maharajgunj, Nepal.
Department of General Surgery, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.
Ann Med Surg (Lond). 2022 Mar 28;76:103538. doi: 10.1016/j.amsu.2022.103538. eCollection 2022 Apr.
Chilaiditi's sign is a rare radiological sign characterized by interposition of the colon between diaphragm and liver. It is called Chilaiditi's syndrome if the patient presents with associated symptoms. Its diagnosis is incidental and can be confused with other acute conditions.
This is a case of 85-year-old gentleman who presented with complaints of epigastric pain and vomiting. The patient had a history of long-term antidepressant medications. X-ray of chest and abdomen revealed presence of bowel loops under the diaphragm. CT scan helped confirm the diagnosis of Chilaiditi's sign.
Chilaiditi's sign has a low prevalence on chest and abdominal X-rays. Common associated symptoms include abdominal pain, nausea, vomiting and constipation. It can be misdiagnosed as bowel perforation and can lead to unnecessary surgical interventions. Symptomatic patients are managed conservatively.
Chilaiditi's syndrome is a rare radiological entity and should be diagnosed carefully to avoid unwanted surgical procedures.
奇莱迪蒂氏征是一种罕见的放射学征象，其特征为结肠位于膈肌与肝脏之间。如果患者伴有相关症状，则称为奇莱迪蒂氏综合征。其诊断多为偶然发现，且可能与其他急性病症相混淆。
这是一名85岁男性患者，主诉上腹部疼痛和呕吐。该患者有长期服用抗抑郁药物的病史。胸部和腹部X线检查显示膈肌下存在肠袢。CT扫描有助于确诊奇莱迪蒂氏征。
奇莱迪蒂氏征在胸部和腹部X线检查中的发生率较低。常见的相关症状包括腹痛、恶心、呕吐和便秘。它可能被误诊为肠穿孔，并可能导致不必要的手术干预。有症状的患者采用保守治疗。
奇莱迪蒂氏综合征是一种罕见的放射学病症，应仔细诊断以避免不必要的外科手术。
