急诊科床旁超声识别髂腰肌脓肿：一例报告
Point-of-care Ultrasound Identification of Iliopsoas Abscess in Emergency Department: A Case Report.
作者信息
Al-Sadhan Nehal A, Liebmann Otto, Dwyer Kristin H
机构信息
King Fahad Medical City, Department of Emergency Medicine, Riyadh, Saudi Arabia.
Warren Alpert Medical School of Brown University, Department of Emergency Medicine, Division of Emergency Ultrasound, Providence, Rhode Island.
出版信息
Clin Pract Cases Emerg Med. 2020 Aug;4(3):404-406. doi: 10.5811/cpcem.2020.5.45255.
INTRODUCTION
The iliopsoas muscle is a rare place for an abscess to collect. While these abscesses can have high mortality, they are often misdiagnosed. The use of point-of-care ultrasound (POCUS) can aid in earlier diagnosis.
CASE REPORT
A 45-year-old male presented to the emergency department (ED) with severe lower back pain. The pain radiated to both of his legs and was associated with fever, weight loss, and malaise. The differential diagnosis for this patient was broad. A POCUS was performed at the bedside and revealed bilateral iliopsoas abscesses. This finding was then confirmed by computed tomography.
CONCLUSION
In this case report we will discuss how to identify an iliopsoas abscess using POCUS in ED patients, and the utility of POCUS to facilitate an expedited diagnosis.
引言
髂腰肌是脓肿形成的罕见部位。虽然这些脓肿可能具有较高的死亡率，但它们常常被误诊。床旁超声（POCUS）的应用有助于早期诊断。
病例报告
一名45岁男性因严重的下背部疼痛就诊于急诊科（ED）。疼痛放射至双腿，并伴有发热、体重减轻和全身不适。该患者的鉴别诊断范围广泛。在床边进行了床旁超声检查，发现双侧髂腰肌脓肿。随后通过计算机断层扫描证实了这一发现。
结论
在本病例报告中，我们将讨论如何在急诊科患者中使用床旁超声识别髂腰肌脓肿，以及床旁超声在促进快速诊断方面的作用。
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