CHILAIDITI SYNDROME IN A 49-YEAR-OLD MALE WITH COVID-19 INFECTION – CASE REPORT

The authors illustrate a case of a 49-year-old male patient admitted to our Emergency Department with dry persistent cough, fever, chills, vague abdominal discomfort and a recent history of dyspnoea and fatigability, symptoms suggestive of COVID-19 infection. Physical examination showed mild abdomin...

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Published inBulletin of the Transilvania University of Brașov. Series VI, Medical sciences Vol. 14(63); no. 2; pp. 37 - 44
Main Authors Manea, R.M, Hogea, M.D., Popa, R.M, Szasz, A.C.
Format Journal Article
LanguageEnglish
Published Brasov Transilvania University of Brasov 25.01.2022
Subjects
Abdomen
Appendicitis
Arteries
Ascites
Atrophy
Cardiac arrhythmia
Case reports
Chills
Colon
Computed tomography
Constipation
Coronaviruses
COVID-19
Creatinine
Dyspnea
Elongation
Emergency medical care
Emergency medical services
Emphysema
Etiology
Gastroenterology
Hernias
Image contrast
Infections
Ischemia
Laboratories
Ligaments
Literature reviews
Liver
Males
Medical imaging
Mesentery
Pain
Paralysis
Patients
Pulmonary arteries
Severe acute respiratory syndrome coronavirus 2
Signs and symptoms
Thoracic surgery
Thorax
Thromboembolism
Peru
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Summary:The authors illustrate a case of a 49-year-old male patient admitted to our Emergency Department with dry persistent cough, fever, chills, vague abdominal discomfort and a recent history of dyspnoea and fatigability, symptoms suggestive of COVID-19 infection. Physical examination showed mild abdominal distension and no signs of peritoneal irritation. The patient was tested positive for COVID-19 and d-dimers were also found positive, raising a strong suspicion diagnosis of pulmonary thromboembolism as a complication of SARS-COV-2 infection, which required an immediate CT scan. No signs of pulmonary thromboembolism were present on the CT scan. Apart from bilateral pulmonary condensation areas having a ground glass pattern with a peripheral distribution, which are the characteristic radiologic feature of SARS-COV-2 infection, the CT scan also revealed the anterior interposition of the colon between the liver and diaphragm, this being highly suggestive for Chilaiditi Syndrome.
ISSN:2065-2216
2065-2224
DOI:10.31926/but.ms.2021.63.14.2.5