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当胁腹疼痛导致昏厥时:一例通过床旁超声诊断的血管平滑肌脂肪瘤破裂病例

When flank pain leads to fainting: a case of a ruptured angiomyolipoma diagnosed by point-of-care ultrasound.

作者信息

Ali Noman, Mudrik Max, Chenkin Jordan

机构信息

Sunnybrook Health Sciences Centre, Toronto, ON, Canada.

出版信息

Int J Emerg Med. 2024 Oct 4;17(1):140. doi: 10.1186/s12245-024-00733-y.

Abstract

BACKGROUND

Acute flank pain is a common presentation in the Emergency Department (ED). Point-of-care ultrasound (PoCUS) has emerged as an invaluable tool in the evaluation of acute flank pain and provides real-time images resulting in the early identification of the underlying pathology.

CASE REPORT

Here we report a case of a young lady presented to the ED with a complaint of right flank pain followed by a syncopal episode. The diagnosis of ruptured angiomyolipoma was made using a PoCUS and an immediate consult to interventional radiology and urology was provided.

CONCLUSION

This case highlights the importance of PoCUS in assessing patients presented to the ED with acute flank pain. Its incorporation into clinical practice promises to revolutionize the approach to renal emergencies, emphasizing its important role in delivering timely and effective care.

摘要

背景

急性胁腹痛是急诊科常见的症状。床旁超声(PoCUS)已成为评估急性胁腹痛的一项宝贵工具,可提供实时图像,有助于早期识别潜在病变。

病例报告

我们在此报告一例年轻女性患者,因右侧胁腹痛就诊于急诊科,随后出现晕厥发作。通过床旁超声诊断为血管平滑肌脂肪瘤破裂,并立即安排介入放射科和泌尿外科会诊。

结论

本病例突出了床旁超声在评估因急性胁腹痛就诊于急诊科患者中的重要性。将其纳入临床实践有望彻底改变肾脏急症的处理方式,强调其在提供及时有效治疗方面的重要作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b83/11453007/6ee176a8db39/12245_2024_733_Fig1_HTML.jpg

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