TWO CASES OF CHILAIDITI SYNDROME (SMALL INTESTINAL TYPE) PRESENTING WITH ACUTE ABDOMEN

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  • 急性腹症を呈した小腸型Chilaiditi症候群の2例

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We experienced two cases of chilaiditi syndrome, in which the ileum was incarcerated beneath the right diaphragm and liver, presenting with acute abdomen.<br> A 61-year-old woman was seen at the hospital because of upper abdominal pain and vomiting. A simple abdominal X-ray film showed intestinal gas shadow beneath the right diaphragm. An emergency operation was performed with a diagnosis of strangulated ileus, and a funicular material was found between the diaphragm and liver, and a part of the ileum incarcerated to be strangluated.<br> A 67-year-old man was seen at the hospital because of upper abdominal pain and vomiting. Based on abdominal X-ray and CT findings, a part of intestinal tract was beneath the right diaphragm and acute cholecystitis was present. During the operation a part of the ileum was incarcerated between the diaphragm and liver, which covered the abscess of cholecystitis.<br> Chilaliditi syndrome has generally no paticular symptoms, but caution should be exercised in the small intestinal type that often associates with acute abdomen.

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