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Diagnosing pediatric intussusception through bedside ultrasound by novice emergency department sonographers: a case report

Intussusception is a common cause of gastrointestinal emergency in the paediatric population and it is usually diagnosed through Barium enema radiography or ultrasound. The skill of using an ultrasound by a minimally trained medical officer in diagnosing this cases in the Emergency Department are ve...

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Main Authors: Farah NA,, Ismail Mohd Saiboon,
Format: Article
Language:English
Published: Pusat Perubatan Universiti Kebangsaan Malaysia 2017
Online Access:http://journalarticle.ukm.my/12693/1/16_farah_et_al_pdf_15577.pdf
http://journalarticle.ukm.my/12693/
http://www.medicineandhealthukm.com/toc/12/2
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spelling my-ukm.journal.126932019-03-17T12:20:18Z http://journalarticle.ukm.my/12693/ Diagnosing pediatric intussusception through bedside ultrasound by novice emergency department sonographers: a case report Farah NA, Ismail Mohd Saiboon, Intussusception is a common cause of gastrointestinal emergency in the paediatric population and it is usually diagnosed through Barium enema radiography or ultrasound. The skill of using an ultrasound by a minimally trained medical officer in diagnosing this cases in the Emergency Department are very helpful and expedite the management. We present the case of a 7-month-old girl who presented to Emergency Department (ED) with the chief complaint of passing blood in stool. Clinically she was dehydrated, irritable and in compensated shock. There was generalised tenderness per abdomen but it was soft and not distended. There was no palpable mass and bowel sound normal. Immmediate fluid resuscitated commenced. Bedside abdominal ultrasound performed by ED medical officer showed a 1.8 cm x 2.5 cm mass of alternating hypo-echoic and hyper-echoic rings at the right lower quadrant, consistent with the ‘target’ sign of intussusception. Supine plain abdominal X-ray did not reveal any abnormality. The ultrasound finding of intussusception was later confirmed by the radiologist. She underwent immediate hydrostatic reduction and was discharged well. Pusat Perubatan Universiti Kebangsaan Malaysia 2017 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/12693/1/16_farah_et_al_pdf_15577.pdf Farah NA, and Ismail Mohd Saiboon, (2017) Diagnosing pediatric intussusception through bedside ultrasound by novice emergency department sonographers: a case report. Medicine & Health, 12 (2). pp. 321-328. ISSN 2289-5728 http://www.medicineandhealthukm.com/toc/12/2
institution Universiti Kebangsaan Malaysia
building Perpustakaan Tun Sri Lanang Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Kebangsaan Malaysia
content_source UKM Journal Article Repository
url_provider http://journalarticle.ukm.my/
language English
description Intussusception is a common cause of gastrointestinal emergency in the paediatric population and it is usually diagnosed through Barium enema radiography or ultrasound. The skill of using an ultrasound by a minimally trained medical officer in diagnosing this cases in the Emergency Department are very helpful and expedite the management. We present the case of a 7-month-old girl who presented to Emergency Department (ED) with the chief complaint of passing blood in stool. Clinically she was dehydrated, irritable and in compensated shock. There was generalised tenderness per abdomen but it was soft and not distended. There was no palpable mass and bowel sound normal. Immmediate fluid resuscitated commenced. Bedside abdominal ultrasound performed by ED medical officer showed a 1.8 cm x 2.5 cm mass of alternating hypo-echoic and hyper-echoic rings at the right lower quadrant, consistent with the ‘target’ sign of intussusception. Supine plain abdominal X-ray did not reveal any abnormality. The ultrasound finding of intussusception was later confirmed by the radiologist. She underwent immediate hydrostatic reduction and was discharged well.
format Article
author Farah NA,
Ismail Mohd Saiboon,
spellingShingle Farah NA,
Ismail Mohd Saiboon,
Diagnosing pediatric intussusception through bedside ultrasound by novice emergency department sonographers: a case report
author_facet Farah NA,
Ismail Mohd Saiboon,
author_sort Farah NA,
title Diagnosing pediatric intussusception through bedside ultrasound by novice emergency department sonographers: a case report
title_short Diagnosing pediatric intussusception through bedside ultrasound by novice emergency department sonographers: a case report
title_full Diagnosing pediatric intussusception through bedside ultrasound by novice emergency department sonographers: a case report
title_fullStr Diagnosing pediatric intussusception through bedside ultrasound by novice emergency department sonographers: a case report
title_full_unstemmed Diagnosing pediatric intussusception through bedside ultrasound by novice emergency department sonographers: a case report
title_sort diagnosing pediatric intussusception through bedside ultrasound by novice emergency department sonographers: a case report
publisher Pusat Perubatan Universiti Kebangsaan Malaysia
publishDate 2017
url http://journalarticle.ukm.my/12693/1/16_farah_et_al_pdf_15577.pdf
http://journalarticle.ukm.my/12693/
http://www.medicineandhealthukm.com/toc/12/2
_version_ 1643738861418840064
score 13.211869

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