Ureteral Stone Mimics Appendicitis: A Point-of-care Ultrasound Case Report
Introduction: Abdominal pain is a common complaint in the emergency department. Point-of-care ultrasound (POCUS) is a rapid modality to evaluate for the etiology. Case Report: A teenage male presented with symptoms concerning for appendicitis. POCUS revealed a non-peristalsing, non-compressible, tub...
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2020-11-01
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doaj-4033a1a3f728466596e6c8c398afdf332020-11-25T04:11:14ZengeScholarship Publishing, University of CaliforniaClinical Practice and Cases in Emergency Medicine2474-252X2020-11-014410.5811/cpcem.2020.7.48155cpcem-04-555Ureteral Stone Mimics Appendicitis: A Point-of-care Ultrasound Case ReportCindy Shavor0Justine Pagenhardt1YuanYuan Sun2Clara Kraft3Bradley End4Joseph Minardi5West Virginia University School of Medicine, Department of Emergency Medicine, Morgantown, West VirginiaWest Virginia University School of Medicine, Department of Emergency Medicine, Morgantown, West VirginiaWest Virginia University School of Medicine, Department of Emergency Medicine, Morgantown, West VirginiaWest Virginia University School of Medicine, Department of Emergency Medicine, Morgantown, West VirginiaWest Virginia University School of Medicine, Department of Emergency Medicine, Morgantown, West VirginiaWest Virginia University School of Medicine, Department of Emergency Medicine, Morgantown, West VirginiaIntroduction: Abdominal pain is a common complaint in the emergency department. Point-of-care ultrasound (POCUS) is a rapid modality to evaluate for the etiology. Case Report: A teenage male presented with symptoms concerning for appendicitis. POCUS revealed a non-peristalsing, non-compressible, tubular structure containing an echogenic stone. This was determined to be a ureteral stone within a dilated ureter, not appendicitis. Conclusion: We propose a syndromic sonographic approach to right lower quadrant pain (RLQ) that includes the gallbladder, right kidney, bladder, and right adnexa, in addition to RLQ landmarks. This case emphasizes the value of such an approach to avoid diagnostic error.https://escholarship.org/uc/item/2nm503gz |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Cindy Shavor Justine Pagenhardt YuanYuan Sun Clara Kraft Bradley End Joseph Minardi |
spellingShingle |
Cindy Shavor Justine Pagenhardt YuanYuan Sun Clara Kraft Bradley End Joseph Minardi Ureteral Stone Mimics Appendicitis: A Point-of-care Ultrasound Case Report Clinical Practice and Cases in Emergency Medicine |
author_facet |
Cindy Shavor Justine Pagenhardt YuanYuan Sun Clara Kraft Bradley End Joseph Minardi |
author_sort |
Cindy Shavor |
title |
Ureteral Stone Mimics Appendicitis: A Point-of-care Ultrasound Case Report |
title_short |
Ureteral Stone Mimics Appendicitis: A Point-of-care Ultrasound Case Report |
title_full |
Ureteral Stone Mimics Appendicitis: A Point-of-care Ultrasound Case Report |
title_fullStr |
Ureteral Stone Mimics Appendicitis: A Point-of-care Ultrasound Case Report |
title_full_unstemmed |
Ureteral Stone Mimics Appendicitis: A Point-of-care Ultrasound Case Report |
title_sort |
ureteral stone mimics appendicitis: a point-of-care ultrasound case report |
publisher |
eScholarship Publishing, University of California |
series |
Clinical Practice and Cases in Emergency Medicine |
issn |
2474-252X |
publishDate |
2020-11-01 |
description |
Introduction: Abdominal pain is a common complaint in the emergency department. Point-of-care ultrasound (POCUS) is a rapid modality to evaluate for the etiology. Case Report: A teenage male presented with symptoms concerning for appendicitis. POCUS revealed a non-peristalsing, non-compressible, tubular structure containing an echogenic stone. This was determined to be a ureteral stone within a dilated ureter, not appendicitis. Conclusion: We propose a syndromic sonographic approach to right lower quadrant pain (RLQ) that includes the gallbladder, right kidney, bladder, and right adnexa, in addition to RLQ landmarks. This case emphasizes the value of such an approach to avoid diagnostic error. |
url |
https://escholarship.org/uc/item/2nm503gz |
work_keys_str_mv |
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