Congenital partial diaphragmatic eventration presenting with Chilaiditi's sign: a case report.

IF 0.9 Q3 MEDICINE, GENERAL & INTERNAL
B Haluk Güvenç, Kemal Rasa
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引用次数: 0

Abstract

Background: Chilaiditi's sign is an incidental radiographic finding, associated with intestinal disposition located between liver and right diaphragm. It is considered as an acquired rather than a congenital condition and the prevalence ranges from 1.18% to 2.4% according to recent adult retrospective studies. The aspects of this rare entity with regards to a 7-month-old male initially misdiagnosed as diaphragmatic hernia is discussed.

Case presentation: A 4-month-old Caucasian male was misdiagnosed with a congenital diaphragmatic hernia owing to previous hospitalization with complaints of respiratory tract infection. On admission 3 months later, he was free of any signs and symptoms of intestinal obstruction or respiratory distress. Thorax computed tomography revealed Chilaiditi's sign. A diagnostic laparoscopy was regarded necessary to evaluate the anatomical details. The most prominent finding was the lack of muscle fibers and almost transparent appearance of the medial aspect of the partially eventrated right hemidiaphragm. Owing to delicate anatomical presentation, diaphragmatic plication was considered hazardous. The patient is doing well and under follow-up.

Conclusions: It is obvious that Chilaiditi's sign is not always a completely incidental finding of no consequence, and may indicate an underlying congenital diaphragmatic pathology, clearly defined by laparoscopic evaluation in this case.

先天性部分膈肌分离伴有 Chilaiditi 征:病例报告。
背景:奇莱蒂氏征是一种偶然的影像学发现,与位于肝脏和右膈之间的肠道布局有关。根据最近的成人回顾性研究,它被认为是一种获得性而非先天性疾病,发病率在 1.18% 至 2.4% 之间。本病例涉及一名 7 个月大的男性,起初被误诊为膈疝:一名 4 个月大的白种男性因呼吸道感染住院,被误诊为先天性膈疝。3 个月后入院时,他没有任何肠梗阻或呼吸困难的症状和体征。胸部计算机断层扫描显示他有奇莱迪蒂征。诊断性腹腔镜检查被认为是评估解剖细节的必要手段。最突出的发现是右半膈内侧缺乏肌纤维,部分偶发的右半膈几乎呈透明状。由于解剖结构复杂,膈肌成形术被认为是危险的。目前患者情况良好,正在接受随访:很明显,奇莱迪蒂征并不总是毫无影响的偶然发现,它可能预示着潜在的先天性膈肌病变。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Medical Case Reports
Journal of Medical Case Reports Medicine-Medicine (all)
CiteScore
1.50
自引率
0.00%
发文量
436
期刊介绍: JMCR is an open access, peer-reviewed online journal that will consider any original case report that expands the field of general medical knowledge. Reports should show one of the following: 1. Unreported or unusual side effects or adverse interactions involving medications 2. Unexpected or unusual presentations of a disease 3. New associations or variations in disease processes 4. Presentations, diagnoses and/or management of new and emerging diseases 5. An unexpected association between diseases or symptoms 6. An unexpected event in the course of observing or treating a patient 7. Findings that shed new light on the possible pathogenesis of a disease or an adverse effect
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