Shokoohi Hamid, Pyle Matthew, Frasure Sarah E, Dimbil Ubah, Pourmand Ali
Harvard Medical School, Massachusetts General Hospital, Boston, Massachusetts.
The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia.
Clin Pract Cases Emerg Med. 2019 Sep 18;3(4):349-353. doi: 10.5811/cpcem.2019.6.43514. eCollection 2019 Nov.
Perineal and rectal pain are common presentations in the emergency department (ED). In the majority of cases, clinical examination is sufficient to detect local anorectal pathologies. However, perianal and rectal abscesses and fistulas are often the primary concerns prompting diagnostic imaging in the ED. Currently, computed tomography is the preferred imaging modality. Recently, transperineal ultrasound has emerged as an optimal imaging modality for the diagnosis of perineal and perianal abscesses. We present a case in which point-of-care ultrasound accurately detected an intersphincteric abscess, and review the appropriate ultrasound technique to evaluate patients with suspected perianal and rectal abscesses.
会阴部和直肠疼痛是急诊科常见的症状。在大多数情况下，临床检查足以发现局部肛肠病变。然而，肛周和直肠脓肿及肛瘘往往是促使急诊科进行诊断性影像学检查的主要关注点。目前，计算机断层扫描是首选的影像学检查方式。最近，经会阴超声已成为诊断会阴部和肛周脓肿的最佳影像学检查方式。我们报告一例床旁超声准确检测到括约肌间脓肿的病例，并回顾评估疑似肛周和直肠脓肿患者的适当超声技术。
