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以难治性低氧血症为表现的胸腔内肠管嵌顿:奇莱迪蒂综合征1例报告

Thoracic Gut Entrapment Presenting As Intractable Hypoxia: A Case Report of Chilaiditi Syndrome.

作者信息

Asanad Samuel, Tewoldemedhin Bereket, Singh Sahiljeet, Sood Aseem, Michael Miriam B

机构信息

Ophthalmology, University of Maryland School of Medicine, Baltimore, USA.

Internal Medicine, Suburban Community Hospital (Lower Bucks Hospital), Bristol, USA.

出版信息

Cureus. 2022 Jun 15;14(6):e25963. doi: 10.7759/cureus.25963. eCollection 2022 Jun.

Abstract

We present a rare case of a patient who had intractable hypoxia and was found to have Chilaiditi syndrome. The hypoxia and respiratory symptoms resolved after bowel decompression and relief of the mass effect of the entrapped gut in the thorax. Chilaiditi sign is the interposition of the colon between the liver and diaphragm. Colonic interposition is a common asymptomatic radiological finding, in Chilaiditi syndrome, patients experience symptoms such as abdominal pain, constipation, respiratory distress, and chest pain.

摘要

我们报告了一例罕见病例,患者患有顽固性缺氧,经检查发现患有Chilaiditi综合征。肠道减压以及解除胸腔内被困肠道的占位效应后,缺氧和呼吸症状得以缓解。Chilaiditi征是指结肠位于肝脏和膈肌之间。结肠间位是一种常见的无症状影像学表现,而在Chilaiditi综合征中,患者会出现腹痛、便秘、呼吸窘迫和胸痛等症状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a09/9285638/c93059bfb4dc/cureus-0014-00000025963-i01.jpg

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