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Glow Up Pediatric Minor Trauma Care: Detecting Adrenal Bleeding with Contrast-Enhanced Ultrasound in Emergency
Yair Katzir1,2, Yehuda Tzur3,2
1Pediatric Emergency Department, Hillel Yaffe Medical Center, Hadera, Israel.
Insights
Pediatric emergency physicians can use contrast-enhanced ultrasound (CEUS) for evaluating minor abdominal trauma. This radiation-sparing technique successfully diagnosed an adrenal hemorrhage in a child, guiding clinical decisions.
Area of Science:
- Pediatric Emergency Medicine
- Radiology
- Pediatric Surgery
Background:
- Minor abdominal blunt trauma is frequent in pediatric emergency departments.
- Contrast-enhanced computed tomography (CECT) is the standard for diagnosing abdominal injuries but involves radiation.
- Contrast-enhanced ultrasound (CEUS) offers a radiation-sparing alternative.
Abstract:
Minor abdominal blunt trauma is a common pediatric emergency department presentation. Contrast-enhanced computed tomography (CECT) is the current gold standard imaging modality for identifying abdominal parenchymal injuries. Contrast-enhanced ultrasound (CEUS) has been suggested as a radiation-sparing alternative. Here we describe, for the first time, the use of pediatric emergency physician-performed CEUS in the evaluation of minor abdominal trauma in a child. The use of CEUS informed the decision-making process in this case and ultimately led to the diagnosis of an adrenal hemorrhage.
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