Salih KOCAOĞLU, Osman OKUR, Adnan KARADAŞ, Atakan SAVRUN

Karın Ağrısının Nadir Sebeplerinden Birisi: Chilaiditi Sendromu, 2 Olgu Sunumu

Chilaiditi sendromu kolon veya ince bağırsağın sağ diyafram ile karaciğer arasında interpoze olması sonucu görülen nadir bir durumdur. Genellikle tekrarlayan karın ağrısı, solunum sıkıntısı, kabızlık ve kusma şikayetleriyle seyreden veya insidental saptanan bir hastalıktır. Akciğer grafisi veya ayakta direk batın grafisinde pnömoperitoneum ile karışabilen tipik görüntüsü acil servislerde hekimler için tanıda zorluklar yaratmaktadır. Bu makalede Chilaiditi sendromu tanısı koyduğumuz iki vakayı sunmayı amaçladık. Bunlardan ilki dış merkezden akut batın ön tanısıyla sevk edilen bir hastaydı diğeri ise insidental olarak yakaladığımız bir travma olgusuydu.

Anahtar Kelimeler:

Chilaiditi sendromu, akut batın, pnömoperitoneum

One Of The Rare Reasons Of Abdominal Pain: Chilaiditi Syndrome, Report Of Two Cases

Chilaiditi syndrome is a rare condition caused by interposing of colon or small bowel between right diaphragm and liver. It is usually a disease with recurrent abdominal pain, respiratory distress, constipation and vomiting or incidentally determined. Typical appearance that can be confused with pneumoperitoneum on chest X-ray or standing abdominal X-ray creates difficulties in diagnosis for physicians in emergency departments. In this article, we aimed to present two cases diagnosed as Chilaiditi syndrome. The first was a patient referred from the external center with a prediagnosis of acute abdomen the other was a case of trauma that we caught incidentally.

Keywords:

Chilaiditi’s syndrome, acute abdomen, pneumoperitoneum,

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