Bouwsema Melissa, Bell Colin
Department of Emergency Medicine, Queen's University Kingston, ON Canada.
Department of Emergency Medicine, University of Calgary Cumming School of Medicine Calgary, AB Canada.
POCUS J. 2022 Apr 21;7(1):127-128. doi: 10.24908/pocus.v7i1.15020. eCollection 2022.
A 51-year-old man with a history of nephrolithiasis presented to the Emergency Department after a sudden onset of left-sided groin pain and syncope. At presentation, he described his pain as similar to prior renal colic episodes. At his initial assessment, point of care ultrasound (POCUS) was used, which revealed findings consistent with obstructive renal stones, as well as a substantially enlarged left iliac artery. Computed tomography (CT) imaging confirmed the comorbid diagnoses of left-sided urolithiasis and a ruptured isolated left iliac artery aneurysm. POCUS facilitated expedited definitive imaging and operative management. This case highlights the importance of performing related POCUS studies in reducing anchoring and premature closure bias.
一名有肾结石病史的51岁男性，在突发左侧腹股沟疼痛和晕厥后被送往急诊科。就诊时，他称疼痛与既往肾绞痛发作相似。在初始评估中，使用了床旁超声（POCUS），结果显示与梗阻性肾结石相符的表现，以及左髂动脉明显增粗。计算机断层扫描（CT）成像证实了左侧尿路结石和孤立性左髂动脉瘤破裂的合并诊断。床旁超声有助于加快确定性成像和手术治疗。该病例强调了进行相关床旁超声检查在减少锚定和过早闭合偏倚方面的重要性。
