Document Detail


Chilaiditi's syndrome complicated by subdiaphragmatic perforated appendicitis : Unusual manifestation of a rare condition.
MedLine Citation:
PMID:  21725673     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
We report on a case of an 80-year-old female patient who presented to the emergency room of with right upper quadrant abdominal pain since the day before. During the initial diagnostic an abdominal x-ray study revealed an air-filled colonic section of the bowel under the right hemidiaphragm corresponding to Chilaiditi's sign. The clinical symptoms and laboratory results were mild at this time. After 12 h the patient developed right upper quadrant peritonitis due to a perforated, subdiaphragmatic appendicitis based on Chilaiditi's syndrome. During surgical treatment the cecum and parts of the ascending colon were found to be interposed between the liver and right hemidiaphragm. A right hemicolectomy was performed which led to complete recovery of the patient.In addition to presenting this interesting case this article highlights the regime of the diagnostics and therapy of a complication of the very rare condition of Chilaiditi's syndrome.
Authors:
M Lenz; M Kindler; M Schilling; T Pollack; W Schwab; M Becker
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-7-3
Journal Detail:
Title:  Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen     Volume:  -     ISSN:  1433-0385     ISO Abbreviation:  -     Publication Date:  2011 Jul 
Date Detail:
Created Date:  2011-7-4     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  16140410R     Medline TA:  Chirurg     Country:  -    
Other Details:
Languages:  GER     Pagination:  -     Citation Subset:  -    
Affiliation:
Klinik für Allgemein- und Viszeralchirurgie, Weißeritztal-Kliniken GmbH, Bürgerstr. 7, 01705, Freital, Deutschland, Matthias.Lenz@weisseritztal-kliniken.de.
Vernacular Title:
Chilaiditi-Syndrom mit subdiaphragmal perforierter Appendizitis : Ungewöhnliche Manifestation einer seltenen Erkrankung.
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