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KMID : 0385920190300030289
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Journal of the Korean Society of Emergency Medicine
2019 Volume.30 No. 3 p.289 ~ p.292
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A case of chilaiditi syndrome complicated by acute small bowel obstruction
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Oh Seong-Beom
Koh Chan-Young
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Abstract
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Chilaiditi syndrome is an extremity rare disease that is typically asymptomatic, but can lead to fatal complications, such as volvulus, perforation, and bowel obstruction. This paper reports a case of an 80-year-old female patient who was admitted for right upper quadrant pain and nausea. She showed a positive Murphy sign with tenderness in the right upper quadrant area. Abdominal ultrasound showed that the gall bladder was normal, but abdominal computed tomography revealed multiple small bowel loops interposed among the liver and diaphragm, as well as an abrupt small transition in the bowel caliber with air fluid levels. Therefore, she was diagnosed with an acute small bowel obstruction by Chilaiditi syndrome. She was managed with surgical repair and was discharged without complications after 18 days of admission. Small bowel obstructions by Chilaiditi syndrome is one etiology of which every emergency physician should be aware.
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KEYWORD
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Chilaiditi syndrome, Small intestine, Intestinal obstruction
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