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SonoKids ABD intussusception

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17 papers 0 to 25 followers
Louisa J D van Dijk, Bo Jan Noordman, Joris J Scheepers, Klaas A Hartholt
A 27-year-old woman presented at the emergency department, with pain in the epigastric region. Because physical examination, blood results, urine tests and an X-ray of the thorax showed no abnormalities, she was discharged. Twelve hours later, she presented again at the emergency department, with intense abdominal pain. The blood results, an X-ray and ultrasound of the abdomen were now aberrant. A CT of the abdomen showed an extensive intussusception. During an emergency laparotomy, the intussusception of the proximal jejunum was confirmed...
November 25, 2015: BMJ Case Reports
M Bartocci, G Fabrizi, I Valente, C Manzoni, S Speca, L Bonomo
OBJECTIVE: The aim of this study was to determine the role of ultrasound in the diagnosis and treatment of pediatric patients with acute abdominal pain caused by intussusceptions. MATERIALS AND METHODS: We performed a retrospective study of all pediatric patients with acute abdominal pain caused by intussusceptions and that underwent ultrasound examination at the emergency service of the Radiology Department between November 2007 and June 2013. The role of ultrasonography in the diagnosis of intussusceptions has been assessed by comparing the echographic presumptive diagnosis with the final diagnosis of discharge...
September 2015: Journal of Ultrasound
Jennifer H Chao, Abhijeet Saha, Kanika Kapoor, Shilpa Sharma, Megan Maraynes, John Gullett
Point-of-care ultrasound is fast becoming a routine diagnostic tool in the pediatric emergency department, including in resource-limited settings. We describe a case where a patient was initially diagnosed with intussusception and admitted to a hospital. While serving as a patient model for a point-of-care ultrasound course, he was found to have a liver abscess. We discuss the manner in which the ultrasound study for ileocolic intussusception is performed and potential mimickers of ileocolic intussusception...
May 2015: Pediatric Emergency Care
Lourdes Vega García, Virginia Fuentes-Leonarte, José María Tenías, Patricia Correcher Medina, Ángel Arias Arias, Carmen Román Ortiz
OBJECTIVES: This study aimed to assess the association between the appearance of intussusception in children and medication intake in the immediately preceding period (2-15 days). METHODS: A case-crossover design was used. We selected cases of children admitted with a diagnosis of intussusception (International Classification of Diseases, Ninth Revision, 860) to the major hospitals in the city of Valencia, Spain, from 2006 to 2009. We then estimated the association between the episode of intussusception and the intake of prescription medication during the preceding 2, 7, and 15 days (case period) and for the same time window 1, 2, 3, and 4 months prior (control period)...
April 2015: Pediatric Emergency Care
José Pedro Pinto, Agostinho Cordeiro, Ana Margarida Ferreira, Conceição Antunes, Patrícia Botelho, Ana João Rodrigues, Pedro Leão
Ileal intussusception is the invagination of the small intestine within itself and accounts for 1% of cases of acute obstruction. However, physicians do not initially consider intussusception as a possible diagnosis of obstruction due to its rarity in adults. Herein, we report the case of a 22-year-old male who was admitted to the Emergency Department with continuous abdominal pain. Ultrasonography and computed tomography revealed an ileal intussusception. The patient underwent surgical removal of the segment of the small bowel...
September 28, 2014: World Journal of Gastroenterology: WJG
Heather M Territo, Brian H Wrotniak, Haiping Qiao, Kathleen Lillis
OBJECTIVE: The purpose of this study was to evaluate all patients suspected of having intussusception and identify which signs and symptoms were associated with the disease. METHODS: We performed a retrospective review of 553 charts from 2006 to 2010 of patients' age 2 months to 5 years who had an abdominal ultrasound obtained to evaluate for intussusception. Charts were reviewed for signs and symptoms previously shown to be associated with intussusception. RESULTS: There were 452 patients (mean age, 21...
October 2014: Pediatric Emergency Care
Dragana Vujović, Marija Lukac, Aleksandar Sretenović, Tamara Krstajić, Vesna Ljubić, Sanja Sindjić Antunović
INTRODUCTION: Intussusception is a common abdominal emergency in early childhood. It is idiopathic in more than 90% of cases with incidence of 1.5-4 per 1,000 live births. The treatment of choice is nonoperative hydrostatic or air enema reduction. OBJECTIVE: The aim of the study was to evaluate the influence of clinical presentation and symptom duration in non-operative treatment, considering the indications for delayed enema reduction and its efficacy. METHODS: From the total number of 107 patients with intusussception, aged from 2 months to 14 years (median 9 months), 102 (95%) patients with ileo-colic intussusceptions were treated initially by ultrasound guided saline enema...
May 2014: Srpski Arhiv za Celokupno Lekarstvo
Mathew J Nelson, Tara Paterson, Christopher Raio
In children presenting to the emergency room with right lower quadrant pain, ultrasound is the preferred initial modality. In our patient, a 6-year-old male with a sudden onset of severe right lower quadrant pain, the differential is broad, including appendicitis and intussusception. In order to narrow our differential and secure the diagnosis, our first modality was ultrasonography. With the increased use of point-of-care ultrasound in the emergency department, the diagnosis of appendicitis and ileo-colic intussusception has been made more frequently...
2014: Critical Ultrasound Journal
Dong Jun Lee, Hyun Cheol Kim, Dal Mo Yang, Sang Won Kim, Jung Kyu Ryu, Kyu Yeoun Won, Suk Hwan Lee
Intussusception of the appendix is an uncommon condition that is difficult to diagnose with radiology. Endometriosis causing appendiceal intussusception is a rare condition that has only been reported a few times in the literature. Here, we report a case of appendiceal intussusception caused by endometriosis in a 33-year-old woman who presented with intermittent right lower abdominal pain. Sonography revealed a hypoechoic mass invaginating into the cecum, which was covered by echogenic cecal wall with central dimpling indicating the appendiceal orifice...
September 2015: Journal of Clinical Ultrasound: JCU
Matthew P Gray, Shun-Hwa Li, Raymond G Hoffmann, Marc H Gorelick
BACKGROUND AND OBJECTIVE: Reported rates of recurrence after enema reduction for intussusception are variable. Concerns for recurrence influence postreduction management. The objective of this study was to conduct a systematic review and meta-analysis to estimate overall, 24-hour, and 48-hour recurrence rates after enema reduction in children. METHODS: PubMed, Cochrane Database, and OVID Medline were searched from 1946 through December 2011 using the search terms: intussusception, recurrence, and enema...
July 2014: Pediatrics
Bo Arys, Simone Mandelstam, Padma Rao, Sara Kernick, Surekha Kumbla
Sonography is a commonly used modality for the investigation of abdominal symptoms in the pediatric population. It is a highly sensitive, readily available imaging modality that does not require ionizing radiation, iodinated contrast material, or anesthesia and can be performed at the bedside if necessary. Abdominal ultrasound is therefore often the first examination performed. This article presents an overview of the ultrasound characteristics of some of the most frequently encountered pathologies as well as some more rarely encountered entities...
June 2014: Ultrasound Quarterly
Paolo Fonio, Francesco Coppolino, Anna Russo, Alfredo D'Andrea, Antonella Giannattasio, Alfonso Reginelli, Roberto Grassi, Eugenio Annibale Genovese
BACKGROUND: Non traumatic gastrointestinal emergencies in the children and neonatal patient is a dilemma for the radiologist in the emergencies room and they presenting characteristics ultrasound features on the longitudinal and axial axis. The most frequent emergencies are : appendicitis, intussusceptions, hypertrophic pyloric stenosis, volvulus due to intestinal malrotation. The aim of this article is to familiarize the reader with the US features. METHODS: A retrospective analysis of 200 ultrasound examinations performed in neonatal and children patients with fever, abdominal pain, leukocytosis, vomiting and diarrhea were evaluated...
July 15, 2013: Critical Ultrasound Journal
Brunhild M Halm
BACKGROUND: During the past decade, point-of-care ultrasound (POC US) has been increasingly performed in emergency medicine for a variety of indications. However, pediatric emergency physicians have been slower to understand the importance of POC US in the diagnosis of critical care cases. OBJECTIVE: This study aimed to illustrate the usefulness of POC US in improving workflow in the emergency department (ED) with an early diagnosis in a critically ill child by a pediatric emergency attending physician...
February 2013: Pediatric Emergency Care
Brunhild M Halm, Rodney B Boychuk, Adrian A Franke
No abstract text is available yet for this article.
March 2011: American Journal of Emergency Medicine
Neeraja Kairam, Costas Kaiafis, Richard Shih
The past decade has seen a rapid evolution in the use of bedside ultrasound (BUS) in the emergency department (ED). In addition, it has been increasingly used in the pediatric population for a variety of indications. As ED BUS is a relatively new modality in pediatric emergency medicine, novel indications are increasingly being recognized. We report a case of a 9-month-old infant who presented with signs and symptoms suggestive of intussusception, whose diagnosis was made using ED BUS in the pediatric ED. Knowledge of the sonographic appearance of intussusception can aid the emergency physician in the prompt diagnosis of this condition while potentially minimizing complications that may result from a delay in diagnosis...
March 2009: Pediatric Emergency Care
Kara Wong Ramsey, Brunhild M Halm
The use of bedside ultrasound in the emergency department has been gaining favor among emergency medicine physicians and can be invaluable in the prompt diagnosis and treatment of acutely ill patients, especially when radiology evaluation is unavailable or delayed. Although pediatric ultrasound examinations are taught in some pediatric residency programs, they are not part of the required pediatric residency curriculum in the United States. This is the first case report of a pediatric resident diagnosing intussusception by bedside ultrasound in a 4-year-old boy under the guidance of a pediatric emergency attending with ultrasound training...
February 2014: Hawai'i Journal of Medicine & Public Health: a Journal of Asia Pacific Medicine & Public Health
Yi-Jung Chang, Shao-Hsuan Hsia, Hsun-Chin Chao
BACKGROUND: Intussusception is the common acute abdomen in children with difficult clinical diagnosis. The routine ultrasound has recently been proposed as the initial diagnostic modality with high accuracy, but is not available for 24 h by gastroenterologists. We aimed to evaluate the validation of bedside ultrasound for intussusceptions performed by pediatric emergency physicians with ultrasound training during the night or holiday. METHODS: A retrospective study was conducted in children with suspected intussusceptions when routine ultrasounds by gastroenterologists were not available over the period from July 2004 to July 2008...
July 2013: Biomedical Journal
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