本文報告一四十三歲洗腎男性患者因上腹痛到急診求診,理學檢查發現疑似中空器官破裂,影像學檢查其胸部X光片及腹部電腦斷層所見腹腔積氣疑似中空器官破裂之現象,由病史和臨床表現近一步探討以避免誤判。
Chilaiditi's sign is not uncommonly encountered in the emergency department (ED). It mimics pneumoperitoneum, and often hollow organ perforation is initially suspected, especially when the patient presents with muscle guarding. We report a 43 year-old uremic male who presented with abdominal pain presumptively from hollow organ perforation. Finally, Chilaiditi's syndrome was diagnosed after detailed history-taking, physical examinations and image studies.