PDF(Pubmed)
Abstract：
UNASSIGNED: Chilaiditi\'s syndrome, characterized by the abnormal positioning of the intestine between the diaphragm and liver, and diaphragmatic eventration, a condition marked by the permanent elevation of one side of the diaphragm, are both exceedingly uncommon medical conditions. Their co-occurrence is even rarer, with only a handful of documented cases in medical literature.
METHODS: A 71-year-old male patient initially presented with shortness of breath and was subsequently diagnosed with both Chilaiditi\'s syndrome and diaphragmatic eventration. His medical history included episodes of abdominal pain, constipation, and a prior colonoscopy that revealed no abnormal findings. Thorough physical examinations and imaging studies confirmed these diagnoses, and the patient\'s treatment was conservatively managed with intravenous fluids and laxatives, resulting in a significant improvement in his symptoms. Subsequent regular follow-up assessments showed no recurrence of symptoms.
UNASSIGNED: Chilaiditi\'s sign/syndrome is a rare condition involving colon interposition between the liver and diaphragm, often diagnosed incidentally during imaging. It mainly affects older men and can cause abdominal symptoms. Management is typically conservative, but surgery may be needed if symptoms persist or complications arise, especially in cases of colonic volvulus or ischemia. When encountering diaphragmatic air, consider a differential diagnosis to avoid unnecessary surgery. Simultaneous hepatodiaphragmatic colonic interposition and diaphragmatic eventration is extremely rare, with uncertain causation.
CONCLUSIONS: This case highlights the rarity of the combination of Chilaiditi\'s syndrome and diaphragmatic eventration. Conservative management led to a significant improvement in symptoms, underscoring the importance of early recognition to prevent complications.
METHODS: A 71-year-old male patient initially presented with shortness of breath and was subsequently diagnosed with both Chilaiditi\'s syndrome and diaphragmatic eventration. His medical history included episodes of abdominal pain, constipation, and a prior colonoscopy that revealed no abnormal findings. Thorough physical examinations and imaging studies confirmed these diagnoses, and the patient\'s treatment was conservatively managed with intravenous fluids and laxatives, resulting in a significant improvement in his symptoms. Subsequent regular follow-up assessments showed no recurrence of symptoms.
UNASSIGNED: Chilaiditi\'s sign/syndrome is a rare condition involving colon interposition between the liver and diaphragm, often diagnosed incidentally during imaging. It mainly affects older men and can cause abdominal symptoms. Management is typically conservative, but surgery may be needed if symptoms persist or complications arise, especially in cases of colonic volvulus or ischemia. When encountering diaphragmatic air, consider a differential diagnosis to avoid unnecessary surgery. Simultaneous hepatodiaphragmatic colonic interposition and diaphragmatic eventration is extremely rare, with uncertain causation.
CONCLUSIONS: This case highlights the rarity of the combination of Chilaiditi\'s syndrome and diaphragmatic eventration. Conservative management led to a significant improvement in symptoms, underscoring the importance of early recognition to prevent complications.
摘要：
■Chilaiditi综合征，以肠在隔膜和肝脏之间的异常定位为特征，和膈膨出，以隔膜一侧的永久升高为标志的状态，都是非常罕见的医疗条件。它们的共存更罕见，医学文献中只有少数记录在案的病例。
方法：一名71岁的男性患者最初表现为呼吸急促，随后被诊断为Chilaiditi综合征和膈膨出。他的病史包括腹痛发作，便秘,和先前的结肠镜检查没有发现异常结果。彻底的身体检查和成像研究证实了这些诊断，患者的治疗是通过静脉输液和泻药保守管理的，导致他的症状有了显著的改善.随后的定期随访评估显示没有症状复发。
■Chilaiditi的体征/综合征是一种罕见的疾病，涉及肝脏和隔膜之间的结肠插入，通常在成像过程中偶然诊断。它主要影响老年男性，并可引起腹部症状。管理通常是保守的，但是如果症状持续或出现并发症，可能需要手术，尤其是在结肠扭转或缺血的情况下。当遇到隔膜空气时，考虑鉴别诊断，以避免不必要的手术。同时肝膈结肠间置和膈膨出极为罕见，不确定的因果关系。
结论：该病例突出了Chilaiditi综合征和膈膨出的罕见组合。保守管理导致症状显着改善，强调早期识别对预防并发症的重要性。
方法：一名71岁的男性患者最初表现为呼吸急促，随后被诊断为Chilaiditi综合征和膈膨出。他的病史包括腹痛发作，便秘,和先前的结肠镜检查没有发现异常结果。彻底的身体检查和成像研究证实了这些诊断，患者的治疗是通过静脉输液和泻药保守管理的，导致他的症状有了显著的改善.随后的定期随访评估显示没有症状复发。
■Chilaiditi的体征/综合征是一种罕见的疾病，涉及肝脏和隔膜之间的结肠插入，通常在成像过程中偶然诊断。它主要影响老年男性，并可引起腹部症状。管理通常是保守的，但是如果症状持续或出现并发症，可能需要手术，尤其是在结肠扭转或缺血的情况下。当遇到隔膜空气时，考虑鉴别诊断，以避免不必要的手术。同时肝膈结肠间置和膈膨出极为罕见，不确定的因果关系。
结论：该病例突出了Chilaiditi综合征和膈膨出的罕见组合。保守管理导致症状显着改善，强调早期识别对预防并发症的重要性。
