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急诊科床旁超声诊断克罗恩病相关腹腔内脓肿

Point-of-Care Ultrasound Diagnosis of a Crohn's Disease-Related Intraabdominal Abscess in the Emergency Department.

作者信息

Rivera Kevin, Cabrera Gabriel, Kalivoda Eric J

机构信息

Emergency Medicine, Hospital Corporation of America (HCA) Healthcare/University of South Florida Morsani College of Medicine Graduate Medical Education (GME) Consortium, Brandon Regional Hospital, Brandon, USA.

出版信息

Cureus. 2021 Apr 4;13(4):e14290. doi: 10.7759/cureus.14290.

Abstract

The emergency department (ED) diagnosis of Crohn's disease (CD)-associated complications is typically established with abdominopelvic computed tomography imaging. Ultrasonography has been suggested as an effective alternative modality for diagnosing several CD complications, including intraabdominal abscesses. We report the identification of a CD-related intraabdominal abscess by emergency physician (EP)-performed point-of-care ultrasound (POCUS). This case highlights the feasibility of EPs integrating POCUS into the clinical decision-making for patients with inflammatory bowel disease in the ED.

摘要

急诊科(ED)对克罗恩病(CD)相关并发症的诊断通常通过腹盆腔计算机断层扫描成像来确定。超声检查已被认为是诊断包括腹腔内脓肿在内的几种CD并发症的有效替代方法。我们报告了一名急诊医生(EP)通过床旁即时超声检查(POCUS)发现的与CD相关的腹腔内脓肿。该病例突出了急诊医生将床旁即时超声检查纳入急诊科炎症性肠病患者临床决策的可行性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6165/8096620/04358bdc244f/cureus-0013-00000014290-i01.jpg

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