Ureteral Stone Mimics Appendicitis: A Point-of-care Ultrasound Case Report

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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Main Authors: Cindy Shavor, Justine Pagenhardt, YuanYuan Sun, Clara Kraft, Bradley End, Joseph Minardi
Format: Article
Language:English
Published: eScholarship Publishing, University of California 2020-11-01
Series:Clinical Practice and Cases in Emergency Medicine
Online Access:https://escholarship.org/uc/item/2nm503gz
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spelling 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 AT cindyshavor ureteralstonemimicsappendicitisapointofcareultrasoundcasereport
AT justinepagenhardt ureteralstonemimicsappendicitisapointofcareultrasoundcasereport
AT yuanyuansun ureteralstonemimicsappendicitisapointofcareultrasoundcasereport
AT clarakraft ureteralstonemimicsappendicitisapointofcareultrasoundcasereport
AT bradleyend ureteralstonemimicsappendicitisapointofcareultrasoundcasereport
AT josephminardi ureteralstonemimicsappendicitisapointofcareultrasoundcasereport
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