Intermittent abdominal pain accompanied by defecation difficulties caused by Chilaiditi syndrome: A case report  

作　　者：Xia-Gang Luo Jing Wang Wu-Lin Wang Chun-Zhao Yu 

机构地区：[1]Department of General Surgery, the Second Affiliated Hospital of Nanjing Medical University

出　　处：《World Journal of Clinical Cases》2018年第15期1042-1046,共5页世界临床病例杂志

基　　金：Supported by the National Natural Science Foundation of China,No.30972910,81172269;Jiangsu Provincial Commission of Health and Family Planning,No.Z201603;Science and Technology Development Fund of Nanjing Health and Family Planning Commission,No.YKK16233;Youth talent support program of Nanjing City during the 13th Five-Year Plan Period,No.QRX17107

摘　　要：We report a case of intermittent lower abdominal pain and distension accompanied by defecation difficulties for 3 years due to Chilaiditi syndrome in a 59-yearold male. Before admission to our hospital, the patient had undergone gastroscopy, which showed gastritis and duodenitis, and colonoscopy, which showed cecum deformation and cicatricial changes of the mucous membrane in the colon hepatic flexure. A computed tomography(CT) scan of the abdomen at our hospital confirmed right hepatic atrophy and interposition of the colon. Moreover, CT simulation endoscopy identified cystic dilatation in the colon hepatic flexure with the widest diameter of 8.2 cm. The patient was diagnosed with Chilaiditi syndrome. As the patient was unable to endure his defecation difficulties, he underwent a laparoscope-assisted right hemicolectomy. The patient had a good recovery. During the follow-up period of 9 mo, the patient remained symptom-free.We report a case of intermittent lower abdominal pain and distension accompanied by defecation difficulties for 3 years due to Chilaiditi syndrome in a 59-yearold male. Before admission to our hospital, the patient had undergone gastroscopy, which showed gastritis and duodenitis, and colonoscopy, which showed cecum deformation and cicatricial changes of the mucous membrane in the colon hepatic flexure. A computed tomography(CT) scan of the abdomen at our hospital confirmed right hepatic atrophy and interposition of the colon. Moreover, CT simulation endoscopy identified cystic dilatation in the colon hepatic flexure with the widest diameter of 8.2 cm. The patient was diagnosed with Chilaiditi syndrome. As the patient was unable to endure his defecation difficulties, he underwent a laparoscope-assisted right hemicolectomy. The patient had a good recovery. During the follow-up period of 9 mo, the patient remained symptom-free.

关 键 词：Abdominal pain Diagnosis Management Laparoscope-assisted right HEMICOLECTOMY Chilaiditi sign Chilaiditi SYNDROME Case report 

分 类 号：R[医药卫生]