Interposition colon is a very common disease, but many people may not have heard of it. In fact, interposition colon is generally a congenital disease. Under normal circumstances, the colon of a normal person is located below the liver, but interposition colon generally refers to the colon being located above the liver. However, most people with interposition colon generally do not feel any discomfort in their bodies, and this situation generally does not require special treatment. Interstitial colon refers to the colon (mostly the hepatic flexure) entering the space between the liver and the diaphragm from the pre-hepatic space or post-hepatic space. It may be asymptomatic or may cause dull pain in the right hypochondrium, abdominal distension, and even gastrointestinal obstruction. The symptoms caused by this are called interstitial colon syndrome, also known as Chilaiditi syndrome. Interpositional colon syndrome is also called Chilaiditi syndrome. In this disease, the right colon flexure is embedded between the liver and the diaphragm. The cause is not the intestine itself, but the drooping and abnormal position of the liver is the basis of this disease. This disease is often caused by developmental abnormalities such as the liver's ligaments being too long, weak, or absent, which causes the liver to move downward and the gap between the liver and the diaphragm to widen, resulting in the colon being embedded in the space. Congenital weakness of the diaphragm or diaphragm paralysis is the triggering factor of this disease. In addition, this symptom can also be seen in some patients with cirrhosis due to obvious atrophy of the right liver lobe and enlarged hepatic diaphragm space. Clinical manifestations: This disease can be seen in both men and women. It is usually asymptomatic. Some symptoms may include upper abdominal discomfort and mild abdominal distension, which is more obvious in the right upper abdomen and worsens after meals. Clinically, it is often misdiagnosed as cholecystitis or gastritis. When the embedded colon is obstructed, you often feel sudden and unbearable upper abdominal distension and pain, a feeling of shortness of breath, and radiating pain in the back. The symptoms disappear after a few hours to a few days, and most of the time they disappear suddenly after activity. The diagnosis of this disease is mainly based on X-ray and CT, and now ultrasound is also used. Due to the influence of some gases, ultrasonic examination also has its limitations! Treatment editor: For some patients with severe symptoms that are progressive and continuously worsen, especially in childhood, when symptoms are severe and affect appetite and hinder growth and development, radical surgical treatment may be considered. Fixing the liver and colon has a better prognosis. Mild cases do not require treatment. Most of the symptoms can be relieved on their own by resting in bed and avoiding gas production in the esophagus. The Chinese medicine Bu Zhong Yi Qi Tang can also be used for treatment. |
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