Chilaiditi综合征为少见临床综合征，是指结肠和/或小肠在肝脏和膈肌之间的异常嵌入，临床表现隐匿且复杂，误诊率高。本文介绍首都医科大学附属北京中医医院近期收治的1例79岁男性腹膜透析合并Chilaiditi综合征患者的诊疗经过。患者间断上腹痛12年，腹膜透析治疗4个月后出现呼吸困难，腹部CT及腹部MRI可见肝前结肠影，临床诊断Chilaiditi综合征，经中西医结合治疗腹胀腹痛减轻。笔者查阅国内外文献分析该疾病的诊治进展。
Chilaiditi syndrome is a rare clinical syndrome with complex clinical manifestations and higher misdiagnosis rate. Here we present how we diagnosed and treated a 79-year-old male case on peritoneal dialysis with Chilaiditi syndrome. He had upper abdominal pain for 12 years. He then developed dyspnea after 4 months of peritoneal dialysis. His abdominal CT and MRI showed the image of colon in front of liver. Chilaiditi syndrome was confirmed. The abdominal distension and abdominal pain were alleviated by integrated traditional Chinese medicine with western medicine. We reviewed the literature and introduced the update of diagnosis and treatment about this syndrome.
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