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床旁超声检查胆囊时的一个潜在陷阱:谨防十二指肠。

A Potential Pitfall in POCUS of the Gallbladder: Beware of the Duodenum.

作者信息

Yang Fan J, Kohen Brian, Sanapala Sowmya, Halperin Michael

机构信息

Jacobi Medical Center Bronx, New York USA.

Memorial Regional Hospital Hollywood, Florida USA.

出版信息

POCUS J. 2022 Nov 21;7(2):188-189. doi: 10.24908/pocus.v7i2.15632. eCollection 2022.

Abstract

It is estimated that 20 million people in the United States have gallbladder disease. Of the patients who present to the Emergency Department (ED) with abdominal pain, 3-10% have acute cholecystitis. Point-of-care ultrasound (POCUS) evaluation of the biliary system is a valuable tool to diagnose gallbladder disease and can greatly expedite the diagnostic evaluation of patients. One source of error in POCUS of the gallbladder is imaging nearby structures that can mimic the gallbladder, such as the duodenum.

摘要

据估计,美国有2000万人患有胆囊疾病。在因腹痛前往急诊科(ED)就诊的患者中,3%-10%患有急性胆囊炎。床旁超声(POCUS)对胆道系统的评估是诊断胆囊疾病的一项有价值的工具,并且可以极大地加快对患者的诊断评估。胆囊POCUS检查的一个误差来源是对附近可能模仿胆囊的结构(如十二指肠)进行成像。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d09/9983711/2687bd364030/pocusj-07-15632-g001.jpg

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