你简直不敢相信!

Q3 Medicine
Caleb Ward MD, BChir , Alyssa Abo MD
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引用次数: 0

摘要

一个2岁以前健康的女孩提出了急诊科突然发作的非胆汁性呕吐和严重的腹痛。她的临床检查和现场超声检查符合小肠梗阻。超声显示腹部有游离液体,随后出现血流动力学不稳定。进一步的影像学提示是先天性异常导致了她的梗阻。她最终被诊断为脐肠系管残余,在探查性剖腹手术中得到证实。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
You Bowel Believe It!

A 2-year-old previously healthy girl presented to the emergency department with sudden onset of nonbilious emesis and severe abdominal pain. Her clinical examination and point-of-care ultrasound were consistent with a small bowel obstruction. She had sonographic evidence of free fluid in the abdomen and subsequently developed hemodynamic instability. Further imaging was suggestive for a congenital anomaly causing her obstruction. She was ultimately diagnosed with an omphalomesenteric duct remnant, confirmed during an exploratory laparotomy.

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来源期刊
自引率
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期刊介绍: This practical journal is devoted to helping pediatricians and emergency physicians provide the best possible care for their young patients. Each topical issue focuses on a single condition frequently seen. Cogently written review articles synthesize practical new advances in the field giving you the authoritative guidance on disease process, diagnosis, and management you need to achieve the best results.
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