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J Korean Soc Emerg Med > Volume 30(3); 2019 > Article
Journal of The Korean Society of Emergency Medicine 2019;30(3): 289-292.
급성 소장폐쇄를 동반한 킬레이디티 증후군 1례
오성범 , 고찬영
단국대학교병원 응급의학교실
A case of chilaiditi syndrome complicated by acute small bowel obstruction
Seong-Beom Oh , Chan-Young Koh
Department of Emergency Medicine, Dankook University College of Medicine, Cheonan, Korea
Correspondence  Chan-Young Koh ,Tel: 041-550-6840, Fax: 041-556-0524, Email: suepunk@naver.com,
Received: December 31, 2018; Revised: April 3, 2019   Accepted: April 23, 2019.  Published online: June 30, 2019.
ABSTRACT
Chilaiditi syndrome is an extremity rare disease that is typically asymptomatic, but can lead to fatal complications, such as volvulus, perforation, and bowel obstruction. This paper reports a case of an 80-year-old female patient who was admitted for right upper quadrant pain and nausea. She showed a positive Murphy sign with tenderness in the right upper quadrant area. Abdominal ultrasound showed that the gall bladder was normal, but abdominal computed tomography revealed multiple small bowel loops interposed among the liver and diaphragm, as well as an abrupt small transition in the bowel caliber with air fluid levels. Therefore, she was diagnosed with an acute small bowel obstruction by Chilaiditi syndrome. She was managed with surgical repair and was discharged without complications after 18 days of admission. Small bowel obstructions by Chilaiditi syndrome is one etiology of which every emergency physician should be aware.
Key words: Chilaiditi syndrome; Small intestine; Intestinal obstruction
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