A Pneumonia Patient with Worsening Respiratory Distress by Chilaiditi Syndrome: A Case Report
- Resource Type
- Article
- Authors
- Chang Ho Lee; Won Young Sung; Jang Young Lee; Sang Won Seo
- Source
- 대한응급의학회지 / Journal of the Korean Society of Emergency Medicine. Apr 30, 2016 27(2):219
- Subject
- Chilaiditi syndrome
Respiratory distress
Pneumoperitoneum
Diaphragmatic hernia
- Language
- Korean
English
- ISSN
- 1226-4334
Chilaiditi sign refers to the presence of bowel gas under the right diaphragm which is similar in appearance to a pneumoperitoneum on radiography, and is caused by abnormal anatomic positioning of the colon or small bowel between the liver and the diaphragm. When symptoms are present, this condition is known as Chilaiditi syndrome. The most common symptoms are gastrointestinal. It has been less commonly associated with chronic, recurrent respiratory distress. We report acute respiratory distress without gastrointestinal symptoms exacerbated by Chilaiditi syndrome in a pneumonia patient with no history of chronic respiratory disease.