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Updated: Jul 16, 2026
04:02
Laparoscopic Cholecystectomy with Indocyanine Green Fluorescence: Choledochoscopic Stone Extraction and Primary Duct Suture
Published on: November 25, 2025
Duodenal obstruction secondary to date stone impaction
1Department of Radiology, Misurata Teaching Hospital, Misurata, Libya. elfortia@doctor.com
Ultraschall in Der Medizin (Stuttgart, Germany : 1980)
|February 17, 2007
Summary
Conventional sonography precisely diagnosed a 10-year-old child's duodenal obstruction caused by a swallowed date stone. This non-invasive imaging avoided surgery, enabling successful endoscopic removal and a smooth recovery.
Area of Science:
- Pediatric Gastroenterology
- Diagnostic Imaging
- Emergency Medicine
Background:
- Non-invasive imaging is crucial for rapid emergency diagnosis.
- Advances in imaging technology are transforming emergency care algorithms.
- Foreign body ingestion can lead to critical gastrointestinal obstruction.
Observation:
- A 10-year-old child presented with symptoms of acute intestinal obstruction.
- Suspicion of a foreign body impaction in the duodenum was raised.
- Conventional sonography was employed for diagnostic evaluation.
Findings:
- Sonography precisely diagnosed a date stone causing duodenal obstruction.
- The diagnosis by sonography obviated the need for initial laparotomy.
- Endoscopic removal of the foreign body was successfully performed.
Implications:
- Non-invasive imaging, like sonography, can effectively manage pediatric intestinal obstruction.
- Accurate diagnosis via imaging can prevent unnecessary surgical interventions.
- This case highlights the value of ultrasound in pediatric emergency diagnostics.
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