黄疸和腹痛:秘鲁急诊科一个意外的、罕见的超声发现。

IF 3.6 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Stephanie J Doniger, Alexander Wang
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引用次数: 0

摘要

背景:在资源有限的情况下,使用即时超声(POCUS)变得越来越重要。它可以快速诊断热带传染病和更常见的床边病理。在这些实践环境中,POCUS可以对管理策略和患者护理产生重大影响。超声检查已成为棘球蚴病诊断和分期的金标准。然而,即使在“经典”的临床场景和设置中,临床医生也必须保持广泛的鉴别诊断。点护理超声可以帮助执行快速诊断,因此根据结果直接适当的治疗策略。病例介绍:我们提出一个27岁的妇女在秘鲁的急诊科提出黄疸和腹痛的情况下。根据她的原发区域,初步诊断为棘球蚴囊肿。然而,当进行POCUS时,结果与包虫病不一致。最终,手术病理显示胆总管囊肿,一个罕见的发现在成年。结论:本病例最初表现为棘球蚴病的“经典”发现。对于临床超声医师来说,重要的是要了解与棘球蚴囊肿一致的特征,并区分那些与其他病理更一致的特征。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Icterus and abdominal pain: an unexpected, rare sonographic finding in a Peruvian Emergency Department.

Icterus and abdominal pain: an unexpected, rare sonographic finding in a Peruvian Emergency Department.

Icterus and abdominal pain: an unexpected, rare sonographic finding in a Peruvian Emergency Department.

Background: The use of point-of-care ultrasound (POCUS) has become increasingly important in resource-limited settings. It can rapidly diagnose both tropical infectious diseases and more common pathology at the bedside. In these practice settings, POCUS can have a significant impact on management strategies and patient care. Ultrasonography has been the gold standard for the diagnosis and staging of Echinococcus disease. However, even in the "classic" clinical scenario and setting, the clinician must maintain a broad differential diagnosis. Point-of-care ultrasound can be helpful in performing the rapid diagnosis and therefore direct appropriate treatment strategies based on the results.

Case presentation: We present a case of a 27-year-old woman presenting to an emergency department in Peru with jaundice and abdominal pain. Initially given the region of her origin, the working diagnosis was an Echinococcus cyst. However, when POCUS was performed, the findings were not consistent with hydatid disease. Ultimately, surgical pathology revealed a choledochal cyst, a rare finding in adulthood.

Conclusions: This case initially appears as a "classic" finding of Echinococcus disease. It is important for the clinician sonographer to appreciate the features consistent with Echinococcus cysts and distinguish from those features that are more consistent with other pathology.

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来源期刊
Critical Ultrasound Journal
Critical Ultrasound Journal RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
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