Ureteral Stone Mimics Appendicitis: A Point-of-care Ultrasound Case Report

Autor: Cindy Shavor, Justine Pagenhardt, YuanYuan Sun, Clara Kraft, Bradley End, Joseph Minardi
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Clinical Practice and Cases in Emergency Medicine, Vol 4, Iss 4 (2020)
Druh dokumentu: article
ISSN: 2474-252X
DOI: 10.5811/cpcem.2020.7.48155
Popis: Introduction: Abdominal pain is a common complaint in the emergency department. Point-of-care ultrasound (POCUS) is a rapid modality to evaluate for the etiology. Case Report: A teenage male presented with symptoms concerning for appendicitis. POCUS revealed a non-peristalsing, non-compressible, tubular structure containing an echogenic stone. This was determined to be a ureteral stone within a dilated ureter, not appendicitis. Conclusion: We propose a syndromic sonographic approach to right lower quadrant pain (RLQ) that includes the gallbladder, right kidney, bladder, and right adnexa, in addition to RLQ landmarks. This case emphasizes the value of such an approach to avoid diagnostic error.
Databáze: Directory of Open Access Journals