Cystic Fibrosis and Lower-Extremity Edema: A Case of Intraoperative Diagnosis of Acute Deep Venous Thrombosis and Pulmonary Embolism in a Double-Lung Transplant Recipient Using Point-of-Care Ultrasound

2019 ◽  
Vol 33 (2) ◽  
pp. 506-510 ◽  
Author(s):  
Vladyslav Melnyk ◽  
Dennis Phillips ◽  
Travis Schisler ◽  
Kathirvel Subramaniam
2019 ◽  
Vol 3 (4) ◽  
pp. 451-452
Author(s):  
Jake Toy ◽  
Alexander Garrett ◽  
Yiju Liu

A 52-year-old man without known medical history presented with painful, progressive, bilateral lower extremity edema over a two-week period. An abdominal exam noted a firm left upper quadrant mass. Emergency department (ED) point-of-care ultrasound (POCUS) revealed a hyperechoic, heterogeneous structure in the inferior vena cava that was determined to represent a tumor thrombus extending from a primary renal cell carcinoma. This case demonstrates how POCUS was valuable in rapidly diagnosing this rare cause of lower extremity edema and its usefulness in directing the initial ED management of this patient.


2021 ◽  
Vol 5 (4) ◽  
pp. 482-484
Author(s):  
Mark McIntyre ◽  
Michael Prats

Case Presentation: A 34-year-old woman presented to the emergency department with bilateral lower extremity edema and shortness of breath. She had been seen by her primary care provider. Lab work and a follow-up with endocrinology had been unrevealing. Using point-of-care ultrasound we identified a cystic mass in the right upper quadrant prompting further imaging. Discussion: Abdominal and pelvic computed tomography confirmed a mass in the right posterior liver, which was later identified as an adrenocortical carcinoma. Ultrasound is an important diagnostic tool in the setting of lower extremity edema and can be used to assess for heart failure, liver failure, obstructive nephropathy, venous thrombosis, and soft tissue infection. In this case, ultrasound helped expedite the diagnosis and treatment of a rare malignancy.


Author(s):  
Montserrat Pérez Pinar ◽  
Regina Pastor Toledo ◽  
Antonio Hernandez Castro ◽  
Julián Solís García del Pozo

2019 ◽  
Vol 23 (2) ◽  
pp. 111-120
Author(s):  
David Canty ◽  
Kavi Mufti ◽  
Lindsay Bridgford ◽  
André Denault

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