scholarly journals Superficial Thrombosis of Pelvic Congestion Syndrome Mimicking Pelvic Abscess

2019 ◽  
Vol 3 (3) ◽  
pp. 237-239
Author(s):  
Adrian Romero ◽  
Janae Hohbein ◽  
Shana Ross
Keyword(s):  
Computed Tomography ◽  
Emergency Department ◽  
Chronic Pelvic Pain ◽  
Point Of Care ◽  
Pelvic Abscess ◽  
Point Of Care Ultrasound ◽  
Pelvic Congestion Syndrome ◽  
Previous Diagnosis ◽  
Abnormal Point ◽  
Pelvic Congestion

Pelvic congestion syndrome (PCS) is an uncommon illness that is typically diagnosed after chronic pelvic pain. We present a case of superficial thrombosis of pelvic veins from PCS that presented to the emergency department (ED) as a previous diagnosis of pelvic abscess with cellulitis. PCS was diagnosed in the ED by computed tomography after an abnormal point-of-care ultrasound. Here we describe this unusual presentation and our approach to the diagnosis.

scholarly journals Sonographic View of Pelvic Congestion Syndrome

2017 ◽  
Vol 33 (3) ◽  
pp. 193-198
Author(s):  
Marie Smith
Keyword(s):  
Magnetic Resonance Imaging ◽  
Computed Tomography ◽  
Chronic Pelvic Pain ◽  
Definitive Diagnosis ◽  
Resonance Imaging ◽  
Pelvic Congestion Syndrome ◽  
Additional Information ◽  
Pelvic Organs ◽  
Detailed Imaging ◽  
Pelvic Congestion

A particular pelvic pathology that may not be recognized, and is easily missed, is pelvic congestion syndrome. There is limited understanding about this condition, and many sonographers may have limited to no knowledge of this disorder. This article is to bring an awareness of this condition and the sonographic images necessary to obtain, so that further testing and possible treatment could relieve the patient of symptoms. Since a pelvic sonogram is generally the first modality of choice when an assessment of the pelvic organs is ordered, detailed imaging of all the pelvic region should be evaluated, including the vessels within this area. When evaluating a patient with chronic pelvic pain and visualizing any dilated vessels during a transabdominal or transvaginal sonogram, further imaging and documentation are essential. With this additional information, further testing with computed tomography or magnetic resonance imaging, along with a venogram, may result in a definitive diagnosis of pelvic congestion syndrome to facilitate treatment.

scholarly journals Point-of-care Transperineal Ultrasound to Diagnose Abscess in the Emergency Department

2019 ◽  
Vol 3 (4) ◽  
pp. 349-353 ◽  
Author(s):  
Hamid Shokoohi ◽  
Matthew Pyle ◽  
Sarah Frasure ◽  
Ubah Dimbil ◽  
Ali Pourmand
Keyword(s):  
Computed Tomography ◽  
Emergency Department ◽  
Diagnostic Imaging ◽  
Imaging Modality ◽  
Point Of Care ◽  
Transperineal Ultrasound ◽  
Point Of Care Ultrasound ◽  
Ultrasound Technique ◽  
Rectal Pain ◽  
Optimal Imaging

Perineal and rectal pain are common presentations in the emergency department (ED). In the majority of cases, clinical examination is sufficient to detect local anorectal pathologies. However, perianal and rectal abscesses and fistulas are often the primary concerns prompting diagnostic imaging in the ED. Currently, computed tomography is the preferred imaging modality. Recently, transperineal ultrasound has emerged as an optimal imaging modality for the diagnosis of perineal and perianal abscesses. We present a case in which point-of-care ultrasound accurately detected an intersphincteric abscess, and review the appropriate ultrasound technique to evaluate patients with suspected perianal and rectal abscesses.

scholarly journals Point-of-care Ultrasound Identification of Iliopsoas Abscess in Emergency Department: A Case Report

2020 ◽  
Vol 4 (3) ◽  
pp. 404-406
Author(s):  
Nehal Al-Sadhan ◽  
Ottto Liebmann ◽  
Kristin Dwyer
Keyword(s):  
Computed Tomography ◽  
Emergency Department ◽  
Weight Loss ◽  
Differential Diagnosis ◽  
Case Report ◽  
Point Of Care ◽  
Iliopsoas Muscle ◽  
Point Of Care Ultrasound ◽  
Iliopsoas Abscess ◽  
Lower Back

Introduction: The iliopsoas muscle is a rare place for an abscess to collect. While these abscesses can have high mortality, they are often misdiagnosed. The use of point-of-care ultrasound (POCUS) can aid in earlier diagnosis. Case Report: A 45-year-old male presented to the emergency department (ED) with severe lower back pain. The pain radiated to both of his legs and was associated with fever, weight loss, and malaise. The differential diagnosis for this patient was broad. A POCUS was performed at the bedside and revealed bilateral iliopsoas abscesses. This finding was then confirmed by computed tomography. Conclusion: In this case report we will discuss how to identify an iliopsoas abscess using POCUS in ED patients, and the utility of POCUS to facilitate an expedited diagnosis.

Case Report: When all claims that it is necrotizing fasciitis but Point of care ultrasound (POCUS) proves the opposite!

POCUS Journal ◽  
2018 ◽  
Vol 3 (1) ◽  
pp. 13-14
Author(s):  
Hadiel Kaiyasah, MD, MRCS (Glasgow), ABHS-GS ◽  
Maryam Al Ali, MBBS
Keyword(s):  
Emergency Department ◽  
Critical Care ◽  
Case Report ◽  
Soft Tissue ◽  
Necrotizing Fasciitis ◽  
Soft Tissue Infection ◽  
Critical Care Unit ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Soft Tissue Infections

Soft tissue ultrasound (ST-USS) has been shown to be of utmost importance in assessing patients with soft tissue infections in the emergency department or critical care unit. It aids in guiding the management of soft tissue infection based on the sonographic findings.

scholarly journals Female with Vaginal Bleeding

2020 ◽  
Vol 4 (4) ◽  
pp. 636-637
Author(s):  
Mark Quilon ◽  
Alec Glucksman ◽  
Gregory Emmanuel ◽  
Josh Greenstein ◽  
Barry Hahn
Keyword(s):  
Emergency Department ◽  
Emergency Physician ◽  
Vaginal Bleeding ◽  
Point Of Care ◽  
First Trimester ◽  
Yolk Sac ◽  
Pregnant Female ◽  
Point Of Care Ultrasound ◽  
Fetal Demise ◽  
Case Presentation

Case Presentation: A 24-year-old pregnant female presented to the emergency department with lower abdominal cramping and vaginal bleeding. A point-of-care ultrasound demonstrated a calcified yolk sac. Discussion: When identified, calcification of the yolk sac in the first trimester is a sign of fetal demise. It is important for an emergency physician to be aware of the various signs and findings on point-of-care ultrasound and be familiar with the management of these pathologies.

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