Síndrome de Chilaiditi associada a volvo de cólon sigmóide: relato de caso
| Autor: | Ricardo Lanzetta Haack, Marcelo Wilson Rocha Almeida, Bruno Hellwig, André Rodrigues da Silva |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
medicine.medical_specialty
Abdominal pain Megacolon business.industry medicine.medical_treatment Gastroenterology Colostomy Transverse colon Chilaiditi syndrome medicine.disease digestive system diseases Sigmoid colon volvulus Surgery Acute abdomen parasitic diseases medicine Ascending colon medicine.symptom business |
| Zdroj: | Revista Brasileira de Coloproctologia. 26:449-453 |
| ISSN: | 0101-9880 |
| DOI: | 10.1590/s0101-98802006000400013 |
| Popis: | INTRODUCTION: This study aims at reporting a case of Chilaiditi Syndrome associated to sigmoid colon volvulus. CASE REPORT: Male patient, white, 51 years old, arrives at an emergency hospital in Pelotas with complaints of stoping the elimination of gases, diffuse abdominal pain, increase of abdominal volume, gradual and progressive inappetence, accepting only liquid. He is diagnosed with mental retardation and a situation of intestinal constipation. An acute abdomen Rx highlighted a diffuse colon distension, suggestive of sigmoid volvulus with tranversum colon image between the liver and the diaphragm. The patient was submitted to exploratory laparotomy being highlighted sigmoid volvulus, diffuse megacolon and interposition of the transverse colon between the liver and the diaphragm. Subtotal colectomy with terminal ascending colon colostomy was proceeded. The patient evolved satisfactorily being discharged on the 9th day. DISCUSSION: The interposition of the colon between the liver and the diaphragmatic cupula (Chilaiditi syndrome) associated to sigmoid colon volvulus constitutes a rare cause of obstructive acute abdomen, though the sigmoid volvulus is one of the main causes of mechanic intestinal obstruction in Brazil. Usually a clinical treatment is done, although when associated to complications the treatment is surgical. |
| Databáze: | OpenAIRE |
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