Hussein Ahmad, Arena Alexander, Yu Connie, Cirilli Angela, Kurkowski Ellen
St. John's Riverside Hospital, Department of Emergency Medicine, Yonkers, New York.
Clin Pract Cases Emerg Med. 2021 Feb;5(1):127-128. doi: 10.5811/cpcem.2020.11.50029.
A 67-year-old female presented to the emergency department (ED) complaining of generalized abdominal pain, nausea, and vomiting. Point-of-care ultrasound (POCUS) demonstrated dilated bowel loops measuring up to 4.1 centimeters and localized free fluid, consistent with a small bowel obstruction (SBO). A nasogastric tube was placed without complications. The patient was admitted to the hospital and conservatively managed with an uncomplicated course.
In elderly patients with abdominal pain, POCUS is an excellent initial imaging modality to assist emergency physicians in rapid and accurate diagnosis of a variety of pathologies to expedite management. Point-of-care ultrasound can be used to rule out and evaluate for conditions encountered in emergency medicine, including acute cholecystitis, renal colic, abdominal aortic aneurysm, and intraperitoneal free fluid. As demonstrated in our case presentation, POCUS had an integral role in the early diagnosis and management of a SBO.
一名67岁女性因全腹疼痛、恶心和呕吐就诊于急诊科。床旁超声（POCUS）显示肠袢扩张，最大直径达4.1厘米，并伴有局限性游离液体，符合小肠梗阻（SBO）表现。顺利置入鼻胃管。患者入院后接受保守治疗，病程平稳。
对于腹痛的老年患者，床旁超声是一种出色的初始影像学检查手段，可帮助急诊医生快速准确地诊断各种病症，从而加快治疗进程。床旁超声可用于排除和评估急诊医学中遇到的病症，包括急性胆囊炎、肾绞痛、腹主动脉瘤和腹腔游离液体。如我们的病例报告所示，床旁超声在小肠梗阻的早期诊断和治疗中发挥了重要作用。
