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POCUS the Pelvis: A Case Series of Timely Diagnoses in Pediatric Patients With Abdominal Pain

Julie Leviter1, Rahul D Shah2, Erika Constantine3

  • 1Pediatric Emergency Medicine, Yale University School of Medicine, New Haven.

Pediatric Emergency Care
|February 3, 2025
PubMed

Insights

Point-of-care ultrasound (POCUS) of the pelvis can quickly diagnose pediatric abdominal pain in the emergency department. This approach aids in faster, definitive patient management.

Area of Science:

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

Background:

  • Abdominal pain is a common reason for pediatric emergency department visits.
  • Timely diagnosis is crucial for effective management of pediatric abdominal pain.
  • Point-of-care ultrasound (POCUS) offers a rapid imaging solution.

Purpose of the Study:

  • To evaluate the utility of a "POCUS the pelvis" approach.
  • To demonstrate how POCUS can expedite diagnosis in pediatric abdominal pain cases.
  • To highlight the role of POCUS in facilitating definitive management.

Main Methods:

  • Retrospective case series of 6 pediatric patients.
  • Focused application of POCUS to the pelvic region.
  • Correlation of POCUS findings with final diagnoses.

Main Results:

  • POCUS of the pelvis expedited diagnosis in all 6 cases.
  • Undifferentiated abdominal pain diagnoses were clarified rapidly.
  • Facilitated timely and appropriate treatment or disposition.

Conclusions:

  • A "POCUS the pelvis" strategy is effective for undifferentiated pediatric abdominal pain.
  • This focused ultrasound approach improves diagnostic efficiency in the pediatric emergency department.
  • POCUS integration can enhance patient care pathways for pediatric abdominal pain.

Keywords:
abdominal painappendicitisconstipationectopic pregnancyovarian torsionpediatric critical carepediatric emergency medicinepelvic painpoint-of-care ultrasound

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