Karın Ağrısının Nadir Sebeplerinden Birisi: Chilaiditi Sendromu, 2 Olgu Sunumu

Year 2019, Volume: 3 Issue: 2, 102 - 107, 30.06.2019

Salih Kocaoğlu Osman Okur Adnan Karadaş Atakan Savrun

https://doi.org/10.33716/bmedj.577029

Abstract

Chilaiditi sendromu kolon veya ince bağırsağın sağ diyafram ile
karaciğer arasında interpoze olması sonucu görülen nadir bir durumdur.
Genellikle tekrarlayan karın ağrısı, solunum sıkıntısı, kabızlık ve kusma
şikayetleriyle seyreden veya insidental saptanan bir hastalıktır. Akciğer
grafisi veya ayakta direk batın grafisinde pnömoperitoneum ile karışabilen
tipik görüntüsü acil servislerde hekimler için tanıda zorluklar yaratmaktadır.
Bu makalede Chilaiditi sendromu tanısı koyduğumuz iki vakayı sunmayı amaçladık.
Bunlardan ilki dış merkezden akut batın ön tanısıyla sevk edilen bir hastaydı
diğeri ise insidental olarak yakaladığımız bir travma olgusuydu.

Keywords

Chilaiditi sendromu, akut batın, pnömoperitoneum

One Of The Rare Reasons Of Abdominal Pain: Chilaiditi Syndrome, Report Of Two Cases

Abstract

Chilaiditi syndrome is a rare condition caused by interposing of colon
or small bowel between right diaphragm and liver. It is usually a disease with
recurrent abdominal pain, respiratory distress, constipation and vomiting or
incidentally determined. Typical appearance that can be confused with
pneumoperitoneum on chest X-ray or standing abdominal X-ray creates
difficulties in diagnosis for physicians in emergency departments. In this
article, we aimed to present two cases diagnosed as Chilaiditi syndrome. The
first was a patient referred from the external center with a prediagnosis of
acute abdomen the other was a case of trauma that we caught incidentally.

Keywords

Chilaiditi’s syndrome, acute abdomen, pneumoperitoneum

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