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Nocturnal BiPAP Therapy Improved Chronic Respiratory Failure in Chilaiditi Syndrome
Takeshi Kouga1, Reizo Tsukamoto1
1Department of General Medicine Chigasaki Tokusyukai Hospital Kanagawa Japan.
Background:
Chilaiditi syndrome includes the Chilaiditi sign, a radiological finding where a segment of bowel loop or small intestine has wandered between the liver and diaphragm and also any symptoms related to intestinal interference.
Case Presentation:
We report the case of a 79-year-old man with Chilaiditi syndrome whose dyspnea and sleep disturbance improved after nocturnal biphasic positive airway pressure (BiPAP) therapy implementation.
Discussion:
BiPAP therapy may contribute to thoracic pressure elevation and reduce diaphragmatic compression due to intestinal enlargement, thus leading to improvements in respiratory symptoms.
Conclusion:
BiPAP therapy should therefore be considered as a treatment option for Chilaiditi syndrome patients.
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