Thrombosis of Inferior Vena Cava Diagnosed Using Point-of-Care Ultrasound After Pediatric Near-Syncope

Autor: Erik Barton, Sean P. Wilson, J. Christian Fox, Roman Navarro, Shadi Lahham, Lester Tsai, Faried Banimahd, Samer Assaf, Abigail Barbera, Mohammad Subeh
Rok vydání: 2016
Předmět:
pulmonary embolism
Vena Cava
Twins
Cardiovascular
0302 clinical medicine
Lung
Ultrasonography
Computed tomography angiography
Pediatric
medicine.diagnostic_test
biology
Ultrasound
Syncope (genus)
Contraceptives
Hematology
Venous Thromboembolism
Thrombosis
Pulmonary embolism
medicine.vein
030220 oncology & carcinogenesis
Emergency Medicine
Biomedical Imaging
Female
Radiology
pediatric ultrasound
Inferior
Oral
medicine.medical_specialty
Adolescent
Point-of-Care Systems
venous thromboembolism
Clinical Sciences
Vena Cava
Inferior
Physical examination
Inferior vena cava
Syncope
Monozygotic
03 medical and health sciences
Clinical Research
030225 pediatrics
medicine
Humans
cardiovascular diseases
business.industry
Prevention
Twins
Monozygotic
Emergency department
biology.organism_classification
medicine.disease
Emergency & Critical Care Medicine
Dyspnea
business
Contraceptives
Oral
Zdroj: The Journal of emergency medicine, vol 51, iss 4
Lahham, Shadi; Tsai, Lester; Wilson, Sean P; Assaf, Samer; Navarro, Roman; Banimahd, Faried; et al.(2016). Thrombosis of Inferior Vena Cava Diagnosed Using Point-of-Care Ultrasound After Pediatric Near-Syncope.. The Journal of emergency medicine, 51(4), e89-e91. doi: 10.1016/j.jemermed.2016.06.008. UC Irvine: Retrieved from: http://www.escholarship.org/uc/item/19q3n5vq
ISSN: 0736-4679
DOI: 10.1016/j.jemermed.2016.06.008
Popis: Background Venous thromboembolism (VTE) is extremely rare but under recognized in the pediatric population. Although the literature on the use of ultrasound to detect VTEs in adults is plentiful, little has been documented on its use in the pediatric population. Case Report We present a case of a healthy 16-year-old female who presented to our emergency department with 3 months of dyspnea on exertion and one episode of near-syncope. Point-of-care cardiac ultrasound identified an inferior vena cava thrombosis. Subsequent computed tomography angiography diagnosed concurrent bilateral pulmonary emboli (PE). The patient's identical twin sister presented with similar symptoms shortly thereafter and was also diagnosed with VTE and bilateral PE. Why Should an Emergency Physician Be Aware of This? This case demonstrates an instance of VTE and pulmonary embolism in twin adolescent girls. Physical examination findings, electrocardiogram, chest x-ray study, and several previous evaluations did not reveal the diagnosis. Point of care ultrasound was used to correctly diagnosis VTE and for heightened concern for a pulmonary embolism.
Databáze: OpenAIRE
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