A CASE OF CHILAIDITI SYNDROME (SMALL INTESTINAL TYPE)

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  • Ｃｈｉｌａｉｄｉｔｉ症候群の１例

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Abstract

Chilaiditi syndrome is a general term designating a condition that part of the gastrointestinal tract is trapped between the right diaphragm and liver. We report a case of Chilaiditi syndrome in which part of the small intestine was trapped (small intestine type Chilaiditi syndrome), that is relatively rare and only 31 cases have been reported in Japan. An 82-year-old man was seen at the department because of abdominal pain and vomiting. Based on abdominal X-ray examination, CT, and three-dimensional computed tomography (3DCT), the patient was diagnosed as having small intestine type Chilaiditi syndrome associated with strangulated ileus, and was operated on. This case is relatively rare in which small intestine type Chilaiditi syndrome was associated with strangulation ileus caused by internal hernia of the small intestine in the vicinity of the Treitz' ligament.<br>Care must be exercised that Chilaiditi syndrome involving the small intestine is prone to cause strangulation ileus. The identification of the involved organ is of importance in the treatment, in that 3DCT is very helpful.

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