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J Korean Soc Emerg Med > Volume 27(2); 2016 > Article
Journal of The Korean Society of Emergency Medicine 2016;27(2): 219-222.
A Pneumonia Patient with Worsening Respiratory Distress by Chilaiditi Syndrome: A Case Report
Chang Ho Lee, Won Young Sung, Jang Young Lee, Sang Won Seo
Department of Emergency Medicine, School of Medicine, Eulji University, Daejeon, Korea
Correspondence  Won Young Sung ,Tel: 042) 611-3256, Fax: 042) 611-3880, Email: sage77@eulji.ac.kr,
Received: November 6, 2015; Revised: November 17, 2015   Accepted: January 5, 2016.  Published online: April 30, 2016.
Chilaiditi sign refers to the presence of bowel gas under the right diaphragm which is similar in appearance to a pneumoperitoneum on radiography, and is caused by abnormal anatomic positioning of the colon or small bowel between the liver and the diaphragm. When symptoms are present, this condition is known as Chilaiditi syndrome. The most common symptoms are gastrointestinal. It has been less commonly associated with chronic, recurrent respiratory distress. We report acute respiratory distress without gastrointestinal symptoms exacerbated by Chilaiditi syndrome in a pneumonia patient with no history of chronic respiratory disease.
Key words: Chilaiditi syndrome, Respiratory distress, Pneumoperitoneum, Diaphragmatic hernia
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