Shokoohi Hamid, Nasser Sigrid, Pyle Matthew, Earls James P, Liteplo Andrew, Boniface Keith
Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School-Boston, Massachusetts, USA.
Department of Emergency Medicine, George Washington University School of Medicine & Health Sciences, Washington, District of Columbia, USA.
J Clin Ultrasound. 2020 Jul;48(6):337-342. doi: 10.1002/jcu.22857. Epub 2020 May 1.
In emergency department (ED) cases with clinically suspected diverticulitis, diagnostic imaging is often needed for diagnostic confirmation, to exclude complications, and to direct patient management. Patients typically undergo a CT scan in the ED; however, in a subset of cases with suspected diverticulitis, point-of-care ultrasound (POCUS) may provide sufficient data to confirm the diagnosis and ascertain a safe plan for outpatient management.We review the main sonographic features of diverticulitis and discuss the diagnostic accuracy and potential benefits of a POCUS First model.
在临床疑似憩室炎的急诊科（ED）病例中，通常需要进行诊断性影像学检查以确诊、排除并发症并指导患者管理。患者通常在急诊科接受CT扫描；然而，在一部分疑似憩室炎的病例中，床旁超声（POCUS）可能提供足够的数据来确诊并确定安全的门诊管理计划。我们回顾了憩室炎的主要超声特征，并讨论了POCUS优先模式的诊断准确性和潜在益处。
