Use of emergency ultrasound in the diagnostic evaluation of an infant with vomiting
Related Experiment Video
Updated: May 28, 2026

A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn
Published on: April 7, 2023
Michelle J Alletag1, Antonio Riera, Melissa L Langhan
1Department of Pediatrics, Section of Emergency Medicine, Yale University School of Medicine, New Haven, CT, USA. Michelle.Alletag@Yale.edu
Insights
Bedside emergency ultrasound aids in diagnosing pediatric abdominal emergencies. This case highlights its value in identifying an unexpected condition in an infant presenting with vomiting.
Area of Science:
- Pediatric Emergency Medicine
- Diagnostic Imaging
- Point-of-Care Ultrasound
Background:
- Bedside emergency ultrasound is increasingly utilized for pediatric abdominal emergencies.
- It serves as a valuable tool for assessing children with abdominal pain.
- Timely diagnosis is crucial for effective management of pediatric surgical emergencies.
Observation:
- An infant presented to the emergency department with symptoms of vomiting.
- An emergent bedside ultrasound was performed for diagnostic evaluation.
- The ultrasound revealed an unanticipated condition requiring intervention.
Findings:
- Emergency ultrasound facilitated a rapid and accurate diagnosis.
- The unanticipated condition was identified non-invasively.
- Prompt diagnosis led to timely and appropriate medical or surgical intervention.
Implications:
- Bedside ultrasound can significantly improve diagnostic accuracy in pediatric abdominal emergencies.
- This technology enables earlier intervention, potentially improving patient outcomes.
- Wider adoption of point-of-care ultrasound in pediatrics is recommended for undifferentiated abdominal pain.
Abstract:
The use of bedside emergency ultrasound in pediatric abdominal emergencies is becoming more widespread and can be a useful adjunct in the assessment of children who present with abdominal pain. Our case describes an infant who presented to the emergency department with vomiting, in whom an emergency ultrasound evaluation led to timely diagnosis and intervention of an unanticipated condition.
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