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/ http://journalarticle.ukm.my/12693/ http://journalarticle.ukm.my/12693/1/16_farah_et_al_pdf_15577.pdf

id	ukm-12693
recordtype	eprints
spelling	ukm-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
repository_type	Digital Repository
institution_category	Local University
institution	Universiti Kebangasaan Malaysia
building	UKM Institutional Repository
collection	Online Access
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/ http://journalarticle.ukm.my/12693/ http://journalarticle.ukm.my/12693/1/16_farah_et_al_pdf_15577.pdf
first_indexed	2023-09-18T20:03:11Z
last_indexed	2023-09-18T20:03:11Z
_version_	1777406984681684992

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

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