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Parotitis on Ultrasound: The Pomegranate Sign
Carrie Ng1, Keegan Tupchong2,3, Rosemary Thomas-Mohtat4
1From the Department of Pediatrics, Baylor College of Medicine.
Insights
Facial swelling in children presents diagnostic challenges. Point-of-care ultrasound aided in diagnosing acute parotitis with sialolithiasis, a rare pediatric condition.
Area of Science:
- Pediatric Emergency Medicine
- Diagnostic Imaging
- Otolaryngology
Background:
- Facial swelling in children has a broad differential diagnosis.
- Accurate diagnosis in the pediatric emergency department can be challenging.
- Sialolithiasis, or salivary stones, can cause parotitis, or parotid gland inflammation.
Abstract:
The differential diagnosis for facial swelling is broad and can be a diagnostic challenge in the pediatric emergency department. We describe the first pediatric case of acute parotitis with sialolithiasis where the diagnosis was facilitated by point-of-care ultrasound.
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