The Journal of emergency medicine · 2025
Chilaiditi Syndrome Caused by Fitz-Hugh-Curtis: Ultrasound and Computed Tomography Findings.
СтатьяКлинический случайНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Mulvany Colm Michael, Nguyen Andrew, Bella Sarah
Аннотация
BACKGROUND: Chilaiditi Syndrome (CS) is the entrapment of the small bowel or colon between the liver and right hemidiaphragm. Risk factors include anatomical distortions of the right upper quadrant, such as adhesions from the anterior hepatic capsule.
CASE REPORT: A 50-year-old female with no prior surgical history presented to our emergency department (ED) complaining of right upper quadrant pain. Point of care ultrasound (POCUS) findings were concerning for a bowel obstruction. Contrast-enhanced computed tomography (CT) abdomen and pelvis demonstrated incarcerated small bowel loops into the hepatodiaphragmatic space characteristic of CS and on subsequent laparoscopy adhesions characteristic of Fitz-Hugh-Curtis Syndrome (FHCS) were identified and lysed.
WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS: This case demonstrates the utility of POCUS in visualizing a rare form of bowel obstruction and in identifying CS, in this instance secondary to FHCS.
CASE REPORT: A 50-year-old female with no prior surgical history presented to our emergency department (ED) complaining of right upper quadrant pain. Point of care ultrasound (POCUS) findings were concerning for a bowel obstruction. Contrast-enhanced computed tomography (CT) abdomen and pelvis demonstrated incarcerated small bowel loops into the hepatodiaphragmatic space characteristic of CS and on subsequent laparoscopy adhesions characteristic of Fitz-Hugh-Curtis Syndrome (FHCS) were identified and lysed.
WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS: This case demonstrates the utility of POCUS in visualizing a rare form of bowel obstruction and in identifying CS, in this instance secondary to FHCS.