Department of Emergency Medicine, Lewis Katz School of Medicine At Temple University, 1316 West Ontario Street, Philadelphia, PA, 19140, USA.
Emerg Radiol. 2021 Oct;28(5):1041-1043. doi: 10.1007/s10140-021-01934-1. Epub 2021 Apr 22.
Intussusception is an intestinal emergency caused by the telescoping of proximal bowel into an adjacent distal bowel segment. Nearly 50% of cases are missed on initial presentation leading to an increased risk of intestinal obstruction, ischemia, and perforation. The authors present two cases of pediatric intussusception whereby point-of-care ultrasound expedited the diagnosis and treatment in a non-pediatric dedicated emergency department. Given the risks of an undiagnosed intussusception and its nonspecific presentations, a prompt and precise diagnosis remains crucial to its successful management. The ubiquity and accuracy of point-of-care ultrasound make it an ideal adjunct for the diagnosis of intussusception.
肠套叠是一种由近端肠套入相邻的远端肠段引起的肠道急症。近 50%的病例在初次就诊时被漏诊,导致肠梗阻、缺血和穿孔的风险增加。作者报告了两例儿科肠套叠病例,床边超声检查在非儿科专科急诊室迅速明确了诊断并进行了治疗。鉴于肠套叠的漏诊风险及其非特异性表现,及时、准确的诊断对于成功治疗仍然至关重要。床边超声检查的普及性和准确性使其成为肠套叠诊断的理想辅助手段。