Chilaiditi syndrome: an unusual presentation in elderly man.

Autor: Al Omran AA; College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia., Ibrahim AH; College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia., Balhareth AS; Department of General Surgery, Colorectal Surgery, King Fahd Specialist Hospital Dammam, Dammam, Saudi Arabia.
Jazyk: angličtina
Zdroj: Journal of surgical case reports [J Surg Case Rep] 2020 Jul 14; Vol. 2020 (7), pp. rjaa141. Date of Electronic Publication: 2020 Jul 14 (Print Publication: 2020).
DOI: 10.1093/jscr/rjaa141
Abstrakt: Chilaiditi syndrome is a radiological manifestation of a large bowel interposition between the liver and right hemidiaphragm that associated with gastrointestinal symptoms. We report a case of 78-year-old Saudi male with multiple comorbidities, presented to the emergency department with two episodes of passaging a large amount of fresh, bright blood per rectum. Later, the patient was diagnosed with Chilaiditi syndrome and managed with conservative measures. The presence of Chilaiditi signs can be caused by an abnormality of either liver, colon or right hemidiaphragm that leads to sub-diaphragmatic space enlargement or intestinal hypermobility. Computed tomography imaging is the best diagnostic modality. Conservative treatment is the first line in management.
(Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2020.)
Databáze: MEDLINE
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