Shah Rahul D, Grither Allie, Cohen Stephanie G, Morales-Perez Liliana, Rabiner Joni, Riera Antonio
Department of Pediatrics, Division of Emergency Medicine, Washington University in St Louis School of Medicine, St Louis, MO.
Department of Pediatrics, University of Puerto Rico, San Juan, Puerto Rico.
Pediatr Emerg Care. 2025 Jan 1;41(1):63-67. doi: 10.1097/PEC.0000000000003238. Epub 2024 Sep 27.
Point-of-care ultrasound (POCUS) can expedite the diagnosis of pediatric abdominal pathologies including appendicitis and intussusception. In this patient series, we present cases from multiple pediatric emergency departments that demonstrate the use of POCUS in the diagnosis of trichobezoars in children. POCUS findings include the presence of an intragastric hyperechoic mass or a hyperechoic arch and associated posterior acoustic shadowing. These findings in the appropriate clinical context should prompt further diagnostic imaging and/or surgical consultation for removal.
床旁超声（POCUS）可加快小儿腹部疾病的诊断，包括阑尾炎和肠套叠。在本病例系列中，我们展示了来自多个儿科急诊科的病例，这些病例证明了POCUS在儿童毛石症诊断中的应用。POCUS检查结果包括胃内高回声团块或高回声弓以及相关的后方声影。在适当的临床背景下，这些发现应促使进一步的诊断性影像学检查和/或手术会诊以进行切除。
