利用即时超声诊断儿童罕见动脉闭塞性血栓：一个案例研究。

IF 1.4 4区医学 Q3 ACOUSTICS

Journal of Clinical Ultrasound Pub Date : 2025-06-02 DOI:10.1002/jcu.24102

Vrushali C Ponde, Neha Singh, Ashok N Johari, Hanna Smeds, Karen Boretsky

{"title":"利用即时超声诊断儿童罕见动脉闭塞性血栓：一个案例研究。","authors":"Vrushali C Ponde, Neha Singh, Ashok N Johari, Hanna Smeds, Karen Boretsky","doi":"10.1002/jcu.24102","DOIUrl":null,"url":null,"abstract":"Pediatric arterial thromboembolism is an extremely rare and serious complication, especially rare when it is noncatheter-related. Most of the literature describes venous and catheter-related thromboembolism. We report a case of a 10-year-old boy with hereditary multiple exostosis who developed acute limb ischemia following deformity correction and Ilizarov ring fixation for limb lengthening. This case highlights two issues: the role of Point of Care Ultrasound (POCUS) and the management of an epidural catheter amidst unanticipated anticoagulation. It also demonstrates the importance of a multidisciplinary team-based approach for optimum management at each level.","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.4000,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Leveraging Point-Of-Care Ultrasound to Diagnose a Rare Arterial Occlusive Thrombus in a Child: A Case Study.\",\"authors\":\"Vrushali C Ponde, Neha Singh, Ashok N Johari, Hanna Smeds, Karen Boretsky\",\"doi\":\"10.1002/jcu.24102\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Pediatric arterial thromboembolism is an extremely rare and serious complication, especially rare when it is noncatheter-related. Most of the literature describes venous and catheter-related thromboembolism. We report a case of a 10-year-old boy with hereditary multiple exostosis who developed acute limb ischemia following deformity correction and Ilizarov ring fixation for limb lengthening. This case highlights two issues: the role of Point of Care Ultrasound (POCUS) and the management of an epidural catheter amidst unanticipated anticoagulation. It also demonstrates the importance of a multidisciplinary team-based approach for optimum management at each level.\",\"PeriodicalId\":15386,\"journal\":{\"name\":\"Journal of Clinical Ultrasound\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.4000,\"publicationDate\":\"2025-06-02\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Clinical Ultrasound\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1002/jcu.24102\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"ACOUSTICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Clinical Ultrasound","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/jcu.24102","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ACOUSTICS","Score":null,"Total":0}

引用次数: 0

摘要

小儿动脉血栓栓塞是一种极其罕见和严重的并发症，特别是当它是非导管相关的。大多数文献描述静脉和导管相关的血栓栓塞。我们报告一例10岁男孩遗传性多发性外生骨病，在畸形矫正和Ilizarov环固定肢体延长后发生急性肢体缺血。本病例强调了两个问题：护理点超声（POCUS）的作用和硬膜外导管在意外抗凝中的管理。它还证明了多学科团队为基础的方法对每个级别的最佳管理的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Leveraging Point-Of-Care Ultrasound to Diagnose a Rare Arterial Occlusive Thrombus in a Child: A Case Study.

Pediatric arterial thromboembolism is an extremely rare and serious complication, especially rare when it is noncatheter-related. Most of the literature describes venous and catheter-related thromboembolism. We report a case of a 10-year-old boy with hereditary multiple exostosis who developed acute limb ischemia following deformity correction and Ilizarov ring fixation for limb lengthening. This case highlights two issues: the role of Point of Care Ultrasound (POCUS) and the management of an epidural catheter amidst unanticipated anticoagulation. It also demonstrates the importance of a multidisciplinary team-based approach for optimum management at each level.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Journal of Clinical Ultrasound 医学-核医学

CiteScore

1.90

自引率

0.00%

发文量

248

审稿时长

6 months

期刊介绍： The Journal of Clinical Ultrasound (JCU) is an international journal dedicated to the worldwide dissemination of scientific information on diagnostic and therapeutic applications of medical sonography. The scope of the journal includes--but is not limited to--the following areas: sonography of the gastrointestinal tract, genitourinary tract, vascular system, nervous system, head and neck, chest, breast, musculoskeletal system, and other superficial structures; Doppler applications; obstetric and pediatric applications; and interventional sonography. Studies comparing sonography with other imaging modalities are encouraged, as are studies evaluating the economic impact of sonography. Also within the journal''s scope are innovations and improvements in instrumentation and examination techniques and the use of contrast agents. JCU publishes original research articles, case reports, pictorial essays, technical notes, and letters to the editor. The journal is also dedicated to being an educational resource for its readers, through the publication of review articles and various scientific contributions from members of the editorial board and other world-renowned experts in sonography.