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首页> 外文期刊>World Journal of Gastroenterology >Heart-touching Chilaiditi's syndrome
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Heart-touching Chilaiditi's syndrome

机译：令人触动的Chilaiditi综合征

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摘要

Symptomatic hepato-diaphragmatic interposition of a bowel loop or Chilaiditi's syndrome is a peculiar anatomical condition most often found by chance. Its described symptoms range from intermittent, mild abdominal pain and dyspepsia to acute intestinal obstruction. We report a case of hepato-diaphragmatic migration of the hepatic flexure of the colon associated to an unusual, heretofore unreported, angina-like pain exclusively evoked by the left lateral decubitus. To maximize the chance of observing anatomical changes in different postures, computed tomography of the chest and abdomen was performed after air insufflation into the colon. While frank herniation into the chest was excluded, the scan showed that the hepatic flexure-with the interposition of the diaphragm-came in contact with the right side of the heart in the left lateral, but not in the supine, decubitus. This finding was reproduced by echocardiography which also showed virtually unaltered hemodynamics after the change of posture. ECG, left and right ventricular global and regional function as well as cardiac injury markers also remained unchanged during the maneuver, indicating that the pain evoked by the latter was unlikely due to myocardial ischemia. This case suggests that Chilaiditi's syndrome should be included among the possible, although rare, causes of unexplained angina-like symptoms.
机译：肠loop或Chilaiditi's综合征的症状性肝inter肌插入是一种特殊的解剖学状况，通常是偶然发现的。其描述的症状范围从间歇性，轻度腹痛和消化不良到急性肠梗阻。我们报道一例肝dia肌肝the曲肌迁移与不寻常的，迄今未报道的，心绞痛样疼痛有关的情况，该疼痛仅由左侧卧位引起。为了最大程度地观察不同姿势的解剖变化，在向结肠吹气后对胸部和腹部进行了计算机断层扫描。尽管排除了坦率的胸腔突出症，但扫描显示，肝flex曲（插入the肌）与心脏的右侧在左侧外侧接触，但在仰卧的褥疮中没有。超声心动图再现了这一发现，该超声心动图也显示出姿势改变后血流动力学几乎未改变。在操作过程中，心电图，左心室和右心室的全局和区域功能以及心脏损伤标志物也保持不变，这表明后者引起的疼痛不太可能是由于心肌缺血引起的。该病例表明，尽管原因不明，心绞痛样症状的发生可能也是罕见的，但应包括Chilaiditi综合征。

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