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Circular right upper quadrant mass, not intussusception

Jennifer H Chao1, Abhijeet Saha, Kanika Kapoor

  • 1From the *Department of Emergency Medicine, SUNY Downstate Medical Center, Brooklyn, NY; †Departments of Pediatrics and ‡Pediatric Surgery, Postgraduate Institute of Medical Education and Research, Dr Ram Manohar Lohia Hospital, New Delhi, India; §Department of Pediatric Emergency Medicine, SUNY Downstate Medical Center, Brooklyn, NY; and ∥Department of Emergency Medicine, University of Alabama at Birmingham, Birmingham, AL.

Pediatric Emergency Care
|May 2, 2015
PubMed

Insights

Point-of-care ultrasound (POCUS) is a valuable tool in pediatric emergency departments. A case highlights how POCUS can reveal a liver abscess, initially misdiagnosed as intussusception, improving patient diagnosis and care.

Area of Science:

  • Pediatric Emergency Medicine
  • Diagnostic Imaging
  • Point-of-Care Ultrasound

Background:

  • Point-of-care ultrasound (POCUS) is increasingly utilized in pediatric emergency settings, even in resource-limited areas.
  • Accurate and timely diagnosis is critical in pediatric emergency medicine.

Observation:

  • A patient initially diagnosed with intussusception was admitted to the hospital.
  • During a POCUS training session, the patient served as a model and was found to have a liver abscess.

Findings:

  • The case demonstrates a liver abscess mimicking intussusception on initial assessment.
  • Ultrasound examination techniques for ileocolic intussusception and its potential mimickers are discussed.

Implications:

  • This case underscores the importance of POCUS in differentiating complex abdominal pathologies in children.
  • Enhanced POCUS training can improve diagnostic accuracy and patient outcomes in emergency settings.
  • Recognizing POCUS mimickers is crucial for effective pediatric emergency care.

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