TWO CASES OF CHILAIDITI SYNDROME (SMALL INTESTINAL TYPE) PRESENTING WITH ACUTE ABDOMEN

Abstract

We experienced two cases of chilaiditi syndrome, in which the ileum was incarcerated beneath the right diaphragm and liver, presenting with acute abdomen. A 61-year-old woman was seen at the hospital because of upper abdominal pain and vomiting. A simple abdominal X-ray film showed intestinal gas shadow beneath the right diaphragm. An emergency operation was performed with a diagnosis of strangulated ileus, and a funicular material was found between the diaphragm and liver, and a part of the ileum incarcerated to be strangluated. A 67-year-old man was seen at the hospital because of upper abdominal pain and vomiting. Based on abdominal X-ray and CT findings, a part of intestinal tract was beneath the right diaphragm and acute cholecystitis was present. During the operation a part of the ileum was incarcerated between the diaphragm and liver, which covered the abscess of cholecystitis. Chilaliditi syndrome has generally no paticular symptoms, but caution should be exercised in the small intestinal type that often associates with acute abdomen.