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ISSN 2221-2434 (Electronic)

2020, Number 3

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Finlay 2020; 10 (3)

Chilaiditi syndrome. Case report and literature review

Rego ÁH, Delgado RA, Vitón CAA

Language: Spanish
References: 11
Page: 325-329
PDF size: 172.47 Kb.


ABSTRACT

Chilaiditi syndrome is a rare radiographic finding. It consists of the interposition of an intestinal loop between the liver and the diaphragm. There is no clearly established etiology, although various hypotheses have been put forward to explain its presence. The case of an 81-year-old male patient who was admitted with nausea, vomiting, abdominal pain, anxiety, and polypnea is presented. Serum sodium hyponatremia was found on the ionogram at 128 meq / l. The chest radiograph showed air below the hemidiaphragm, the chest and abdomen tomography found the presence of colonic interposition between the liver and the right hemidiaphragm, imitating the presence of free air. Chilaiditi syndrome was confirmed. The patient was treated with conservative management, with suspension of the oral route and placement of a nasogastric tube. The case is presented due to the rareness of this entity and because its diagnosis is important to avoid undergo the patient to surgical intervention.


REFERENCES

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