キライディティ症候群
WordNet
- a pattern of symptoms indicative of some disease
- a complex of concurrent things; "every word has a syndrome of meanings"
PrepTutorEJDIC
- (疾患の徴候となる一群の)症徴候,症候群 / (事件・社会的状態などのパターンを示す)徴候形態
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2014/07/25 00:06:45」(JST)
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| Chilaiditi syndrome |
| Classification and external resources |
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Chest X-ray showing obvious Chilaiditi's sign, or presence of gas in the right colic angle between the liver and right hemidiaphragm.
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| DiseasesDB |
32496 |
| MeSH |
D059269 |
Chest X-ray of the same patient as the picture above. A small crescent of air can be seen under the right part of the diaphragm, caused by
Chilaiditi's sign. However, it could easily be mistaken for free intra-abdominal air (pneumoperitoneum) which could mistakenly be attributed to bowel perforation.
Chilaiditi syndrome is a rare condition when pain occurs due to transposition of a loop of large intestine (usually transverse colon) in between the diaphragm and the liver, visible on plain abdominal X-ray or chest X-ray.[1]
Normally this causes no symptoms, and this is called Chilaiditi's sign. The sign can be permanently present, or sporadically. This anatomical variant is sometimes mistaken for the more serious condition of having air under the diaphragm (pneumoperitoneum) which is usually an indication of bowel perforation, possibly leading to unnecessary surgical interventions.
Chilaiditi syndrome refers only to complications in the presence of Chilaiditi's sign. These include abdominal pain,[2] torsion of the bowel (transverse colon volvulus)[3] or shortness of breath.[4]
Contents
- 1 Causes
- 2 Epidemiology
- 3 Synonyms
- 4 History
- 5 References
Causes
The exact cause is not always known, but it may occur in patients with a long and mobile colon (dolichocolon), chronic lung disease such as emphysema, or liver problems such as cirrhosis and ascites. Chilaiditi's sign is generally not associated with symptoms, and is most commonly an incidental finding in normal individuals.
Absence or laxity of the ligament suspending the transverse colon or of the falciform ligament are also thought to contribute to the condition. It can also be associated with relative atrophy of the medial segment of the left lobe of the liver. In this case, the gallbladder position is often anomalous as well - it is often located anterior to the liver, rather than posterior.
Epidemiology
The occurrence (incidence) on abdominal or chest X-rays is around 0.1% but it can be up to 1% in series of older adults.[5] It has also been reported in children.[4]
Synonyms
Synonyms include interpositio hepatodiaphragmatica, subphrenic displacement of the colon, subphrenic interposition syndrome and pseudopneumoperitoneum.
History
Chilaiditi's sign is named after the Greek radiologist Dimítrios Chilaiditi, born in 1883, who first described it when he was working in Vienna in 1910.[6][7]
References
- ^ Saber AA, Boros MJ (March 2005). "Chilaiditi's syndrome: what should every surgeon know?". Am Surg 71 (3): 261–3. PMID 15869145.
- ^ Glatter RD, April RS, Miskovitz P, Neistadt LD (2007). "Severe Recurrent Abdominal Pain: An Anatomical Variant of Chilaiditi's Syndrome". MedGenMed 9 (2): 67. PMC 1994890. PMID 17955121.
- ^ Plorde JJ, Raker EJ (December 1996). "Transverse colon volvulus and associated Chilaiditi's syndrome: case report and literature review". Am. J. Gastroenterol. 91 (12): 2613–6. PMID 8946999.
- ^ a b Keles S, Artac H, Reisli I, Alp H, Koc O (June 2006). "Chilaiditi syndrome as a cause of respiratory distress". Eur. J. Pediatr. 165 (6): 367–9. doi:10.1007/s00431-005-0077-9. PMID 16489467.
- ^ Walsh SD, Cruikshank JG (February 1977). "Chilaiditi syndrome". Age Ageing 6 (1): 51–7. doi:10.1093/ageing/6.1.51. PMID 842405.
- ^ D. Chilaiditi: Zur Frage der Hepatoptose und Ptose im allgemeinen im Anschluss an drei Fälle von temporärer, partieller Leberverlagerung. Fortschritte auf dem Gebiete der Röntgenstrahlen, 1910, 16: 173-208.
- ^ synd/2326 at Who Named It?
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Eponymous medical signs for digestive system and abdomen
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| Digestive system |
| GI tract |
- Goodsall's rule
- Chilaiditi syndrome
- intussusception: Dance's sign
- appendicitis: Aaron's sign
- Dunphy sign
- Markle sign
- McBurney's point
- Rosenstein's sign
- Rovsing's sign
- Sherren's triangle
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| Accessory |
- liver: Councilman body
- Mallory body
- biliary: Boas' sign
- Courvoisier's law
- Charcot's cholangitis triad/Reynolds' pentad
- cholecystitis (Murphy's sign
- Lépine's sign)
- Nardi test
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| Abdominopelvic |
| Peritoneum |
- Blumberg sign
- Rigler's sign
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| Hernia |
- Howship–Romberg sign
- Hannington-Kiff sign
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| Other |
- Fothergill's sign
- Carnett's sign
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| Abdominal
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- spleen/LUQ: Ballance's sign
- Traube's sign
- Castell's sign
- hemorrhage: Cullen's sign
- Grey Turner's sign
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anat (t, g, p)/phys/devp/enzy
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noco/cong/tumr, sysi/epon
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proc, drug (A2A/2B/3/4/5/6/7/14/16), blte
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UpToDate Contents
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English Journal
- Medical image. Chilaiditi syndrome.
- Gupta PP, Agarwal D.SourceRespiratory Medicine, Postgraduate Institute of Medical Sciences, University of Health Sciences, Rohtak, India. gparkas@yahoo.co.in
- The New Zealand medical journal.N Z Med J.2011 Nov 4;124(1345):81-3.
- PMID 22072172
- Dyspnea and large bowel obstruction: a misleading Chilaiditi syndrome.
- Antonacci N, Di Saverio S, Biscardi A, Giorgini E, Villani S, Tugnoli G.SourceEmergency and Trauma Surgery Unit, Maggiore Hospital, Bologna Local Health District, L.go Nigrisoli 240100, Bologna, Italy.
- American journal of surgery.Am J Surg.2011 Nov;202(5):e45-7. Epub 2011 Aug 20.
- Chilaiditi sign is named after the Greek radiologist Demetrius Chilaiditi who first described it when he was working in Vienna In (1910), and it is an incidental radiographic finding. This sign can be more frequently mistaken for pneumoperitoneum which is usually an indication of bowel perforation a
- PMID 21861981
Japanese Journal
- 腹臥位脊椎手術後に所見が消失した一過性キライディティ症候群の1症例
Related Links
- Over a century ago, the radiologist Demetrius Chilaiditi reported a small case series of 3 patients with the incidental radiologic finding of colonic interposition between the liver and diaphragm.1 Tereafter called the Chilaiditi sign, this ...
- What is Chilaiditi Syndrome? Chilaiditi syndrome, which is pronounced as “ky-la-ditty”, is considered to be an uncommon medical condition. This was Greek ... Anatomically speaking, the diaphragm is what separates the abdominal ...
★リンクテーブル★
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- 英
- Chilaiditi syndrome, Chilaiditi's syndrome
- 同
- Chilaiditi症候群
- ラ
- interpositio hepatodiaphragmatica
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