Affiliation:
1. Maimonides Medical Center, Department of Emergency Medicine, Brooklyn, New York
Abstract
Introduction: Pneumoperitoneum is a life-threatening diagnosis that requires timely diagnosis and action. We present a case series of patients with perforated hollow viscus who were accurately diagnosed by emergency physicians using point-of-care ultrasound (POCUS) while in the emergency department (ED).
Case Series: Three elderly patients presented to the ED with the complaints of syncope, abdominal pain with constipation, and unresponsiveness. The emergency physicians used POCUS to diagnose and then expedite the necessary treatment.
Conclusion: Point-of-care ultrasound can be used by emergency physicians to diagnose
pneumoperitoneum in the ED.
Publisher
Western Journal of Emergency Medicine
Subject
Emergency Nursing,Emergency Medicine
Reference5 articles.
1. Muradali D, Wilson S, Burns PN, et al. A specific sign of pneumoperitoneum on sonography: enhancement of the peritoneal stripe. AJR Am J Roentgenol. 1999;173(5):1257-62.
2. Kumar A, Muir MT, Cohn SM, et al. The etiology of pneumoperitoneum in the 21st century. J Trauma Acute Care Surg. 2012;73(3):542-8.
3. Hefny AF and Abu-Zidan FM. Sonographic diagnosis of intraperitoneal free air. J Emerg Trauma Shock. 2011;4(4):511-3.
4. Shokoohi H, Boniface KS, Abell BM, et al. Ultrasound and perforated viscus; dirty fluid, dirty shadows, and peritoneal enhancement. Emerg (Tehran). 2016;4(2):101-5.
5. Grechenig W, Peicha G, Clement HG, et al. Detection of pneumoperitoneum by ultrasound examination: an experimental and clinical study. Injury. 1999;30(3):173-8.
Cited by
1 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献