Evaluation and diagnosis of gallstone ileus using point of care ultrasound in the Emergency Department
| العنوان: | Evaluation and diagnosis of gallstone ileus using point of care ultrasound in the Emergency Department |
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| المؤلفون: | Kristen Price, Joseph Betcher, Steven Van Rees |
| المصدر: | Emergency Care Journal, Vol 16, Iss 1 (2020) |
| بيانات النشر: | PAGEPress Publications, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | lcsh:R5-920, medicine.medical_specialty, ultrasound, business.industry, General surgery, Point of care ultrasound, Gallstone ileus, Emergency department, digestive system diseases, 030218 nuclear medicine & medical imaging, cholecysto-enteric fistula, 03 medical and health sciences, 0302 clinical medicine, medicine, 030212 general & internal medicine, lcsh:Medicine (General), business |
| الوصف: | A 75-year-old female presented to the Emergency Department (ED) with nausea, feculent emesis and abdominal distension. On previous visit the patient was diagnosed with a 2.2x1.9x1.1 cm ectopic gallstone in the mid small bowel without evidence of ileus or bowel obstruction and was subsequently discharged home. She returned 2 days later, abdominal plain radiographs revealed mildly dilated small bowel with air-fluid levels and a calcified mass in the right hemipelvis. Bedside ultrasound was performed and an air filled gallbladder with a fistulous tract was visualized. Dilated loops of bowel were visualized with an abnormal back and forth movement of intestinal contents, consistent with a small bowel obstruction. Patient went on to have an uncomplicated surgical extraction of the gallstone with resolution of her ileus. We would propose using point-of-care ultrasonography with abdominal plain films as an adjunct for evaluation and diagnosis of gallstone ileus in elderly patients. |
| تدمد: | 2282-2054 1826-9826 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::c2f00b8580ff9ee10ab4c95f0041c370 https://doi.org/10.4081/ecj.2020.8570 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....c2f00b8580ff9ee10ab4c95f0041c370 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 22822054 18269826 |
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