J Korean Soc Emerg Med.  2016 Apr;27(2):219-222. 10.0000/jksem.2016.27.2.219.

A Pneumonia Patient with Worsening Respiratory Distress by Chilaiditi Syndrome: A Case Report

Affiliations
  • 1Department of Emergency Medicine, School of Medicine, Eulji University, Daejeon, Korea. sage77@eulji.ac.kr

Abstract

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.

Keyword

Chilaiditi syndrome; Respiratory distress; Pneumoperitoneum; Diaphragmatic hernia

MeSH Terms

Chilaiditi Syndrome*
Colon
Diaphragm
Hernia, Diaphragmatic
Humans
Liver
Pneumonia*
Pneumoperitoneum
Radiography
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