Advertisement
Visual Diagnosis in Emergency Medicine| Volume 57, ISSUE 2, P247-248, August 2019

Download started.

Ok

Definitive Diagnosis before Leaving the Room: POCUS for Pediatric Intussusception

      We present the case of a 2-year-old female who presented to the emergency department (ED) with colicky abdominal pain and a bloody bowel movement. On initial examination, she was well appearing with a benign abdominal examination. Immediate point of care ultrasound (POCUS) revealed findings of ileocolic intussusception. Within minutes, she was transported to the fluoroscopy suite and underwent successful reduction. Emergency physicians have demonstrated the ability to make this diagnosis accurately and efficiently (
      • Riera A.
      • Hsiao A.L.
      • Langhan M.L.
      • Goodman T.R.
      • Chen L.
      Diagnosis of intussusception by physician novice sonographers in the emergency department.
      ). Earlier, more efficient diagnosis with incorporation of POCUS should lead to improved outcomes while using fewer health care resources.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Emergency Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Riera A.
        • Hsiao A.L.
        • Langhan M.L.
        • Goodman T.R.
        • Chen L.
        Diagnosis of intussusception by physician novice sonographers in the emergency department.
        Ann Emerg Med. 2012; 60: 264-268
        • Hryhorczuk A.L.
        • Strouse P.L.
        Validation of US as a first-line diagnostic test for assessment of pediatric ileocolic intussusception.
        Pediatr Radiol. 2009; 39: 1075-1079
        • Pagenhardt J.
        • Shaver E.
        • Minardi J.
        • Dorinzi N.
        • Hanks Massey G.
        Atypical case of intussusception recognized with point of care ultrasound.
        W V Med J. 2017; 113: 28-30
        • Chang Y.J.
        • Hsia S.H.
        • Chao H.C.
        Emergency medicine physicians performed ultrasound for pediatric intussusceptions.
        Biomed J. 2013; 36: 1758