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Surprising Stones in a Child With Abdominal Pain: A POCUS Case Report
Rivka Katz1, Eric Scheier2,3
1Department of Pediatrics, Kaplan Medical Center, Rehovot, Israel.
Insights
Point of care ultrasound (POCUS) diagnosed gallstones within a choledochal cyst in a pediatric patient with abdominal pain. This case demonstrates POCUS
Area of Science:
- Pediatric Gastroenterology
- Medical Imaging
- Emergency Medicine
Background:
- Abdominal pain is a frequent reason for pediatric emergency department visits.
- Choledochal cysts are rare congenital biliary anomalies.
- Timely diagnosis of choledochal cysts with complications like cholelithiasis is crucial.
Abstract:
Abdominal pain is a common presenting complaint in the pediatric emergency department. Here, we present a three-year-old boy with acute on chronic abdominal pain found on point of care ultrasound (POCUS) to have cholelithiasis in a choledochal cyst on POCUS. This is the first case of a choledochal cyst on POCUS in the medical literature, and led to early and definitive treatment. This case highlights the potential utility of POCUS as a diagnostic tool in all cases of pediatric abdominal pain, emphasizing its role in early detection and intervention.
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