From the Department of Emergency Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, PA.
Pediatr Emerg Care. 2020 Oct;36(10):497-499. doi: 10.1097/PEC.0000000000002228.
A case is described of a 4 year-old girl who presented with chronic episodic abdominal pain with vomiting. Physical examination was unremarkable aside from hypertension. Point-of-care renal ultrasound showed hydronephrosis, leading to a diagnosis of ureteropelvic junction obstruction presenting with Dietl crisis (episodic abdominal pain secondary to urinary tract obstruction). The clinical utility of point-of-care renal ultrasound in the evaluation of abdominal pain and ultrasound findings of ureteropelvic junction obstruction are highlighted.
现介绍 1 例 4 岁女孩，以慢性间歇性腹痛伴呕吐就诊。体格检查除高血压外无其他异常。床边肾脏超声显示肾积水，诊断为肾盂输尿管连接部梗阻伴 Dietl 危机（继发于尿路梗阻的间歇性腹痛）。强调了床边肾脏超声在腹痛评估和肾盂输尿管连接部梗阻的超声表现中的临床应用价值。
