Diagnosis of pediatric intussusception by an emergency physician-performed bedside ultrasound: A case report

Pediatric Emergency Care

Volumn 25, Issue 3, 2009, Pages 177-180

  Kairam, Neeraja ^a   Kaiafis, Costas ^a   Shih, Richard ^a  

^a MORRISTOWN MEMORIAL HOSPITAL   (United States)

Author keywords

Bedside ultrasound; Emergency ultrasound; Intussusception; Pediatric abdominal pain; Ultrasound

Indexed keywords

GLUCOSE; HEMOGLOBIN;

ARTICLE; CASE REPORT; CESAREAN SECTION; CLINICAL FEATURE; DIAGNOSTIC ACCURACY; DIAGNOSTIC IMAGING; DIAGNOSTIC VALUE; EARLY DIAGNOSIS; ECHOGRAPHY; EMERGENCY MEDICINE; EMERGENCY PHYSICIAN; EMERGENCY WARD; FAMILY HISTORY; FLUID RESUSCITATION; GESTATIONAL AGE; GLUCOSE BLOOD LEVEL; HEMOGLOBIN BLOOD LEVEL; HUMAN; INFANT; INTUSSUSCEPTION; MALE; MATERNAL HYPERTENSION; NEWBORN INTENSIVE CARE; POINT OF CARE TESTING; RECTUM TEMPERATURE; URINALYSIS; VITAL SIGN;

CLINICAL COMPETENCE; DIAGNOSIS, DIFFERENTIAL; HUMANS; INFANT; INTENSIVE CARE UNITS, PEDIATRIC; INTUSSUSCEPTION; MALE; PHYSICIANS; POINT-OF-CARE SYSTEMS;

EID: 66249113547     PISSN: 07495161     EISSN: None     Source Type: Journal    
DOI: 10.1097/PEC.0b013e31819a8a46     Document Type: Article

References (27)

1. American College of Emergency Physicians. Use of ultrasound imaging by emergency physicians (policy statement). Ann Emerg Med. 2001; 38:469-470.
2. Counselman FL, Sanders A, Slovis CM, et al. The status of bedside ultrasonography training in emergency medicine residency programs. Acad Emerg Med. 2003;10(1):37-42.
3. Bowra J, McLaughlin RE. Emergency Ultrasound Made Easy. London, UK: Churchill Livingstone; 2006.
4. Pershad J, Myers S, Plouman C, et al. Bedside limited echocardiography by the emergency physician is accurate during evaluation of the critically ill patient. Pediatrics. 2004;114(6):E667-E671.
5. Jang TB, Aubin C, Sineff S, et al. The learning curve for EP-performed focused abdominal sonography for trauma (FAST) exams in the detection of intraperitoneal free fluid. Acad Emerg Med. 2003;10:428 (abstract).
6. Kuhn M, Bonnin RL, Davey MJ, et al. Emergency department ultrasound scanning for abdominal aortic aneurysm: accessible, accurate, and advantageous. Ann Emerg Med. 2000;36:219-223.
7. Durston W, Carl ML, Guerra W. Patient satisfaction and diagnostic accuracy with ultrasound by emergency physicians. Am J Emerg Med. 1999;17:642-646.
8. Chen L, Baker MD. Novel applications of ultrasound in pediatric emergency medicine. Pediatr Emerg Care. 2007;23(2): 115-123.
9. Navarro O, Daneman A. Intussusception. Part 3: diagnosis and management of those with an identifiable or predisposing cause and those that reduce spontaneously. Pediatr Radiol. 2004;34:305-312.
10. Beasley SW, Auldist AW, Stokes KB. The diagnostically difficult intussusception: its characteristics and consequences. Pediatr Surg Int. 1988;3:135-138.
11. Sargent MA, Babyn P, Alton DJ. Plain abdominal radiography in suspected intussusception: a reassessment. Pediatr Radiol. 1994;24:17-20.
12. Applegate KE. Clinically suspected intussusception in children: evidence-based review and self-assessment module. AJR Am J Roentgenol. 2005;185:s175-s183.
13. del-Pozo G, Albillos JC, Tejedor D. Intussusception: US findings with pathologic correlation - the cresent-in-doughnut sign. Radiology. 1996;199:688-692.
14. Daneman A, Alton DJ. Intussusception: issues and controversies related to diagnosis and reduction. Radiol Clin North Am. 1996;34:743-756.
15. Alessi V, Salerno G. The "hay-fork" sign in the ultrasonographic diagnosis of intussusception. Gastrointest Radiol. 1985;10:177-179.
16. Pracros JP, Tran-Minh VA, Morin deFinfe CH, et al. Acute intestinal intussusception in children: contribution of ultrasonography (145 cases). Ann Radiol (Paris). 1987;30:525-530.
17. Harrington L, Connolly B, Hu X, et al. Ultrasonographic and clinical predictors of intussusception. J Pediatr. 1998;132:836-839.
18. Shanbhogue RLK, Hussain SM, Meradji M, et al. Ultrasonography is accurate enough for the diagnosis of intussusception. J Pediatr Surg. 1994;29:324-328.
19. Verschelden P, Filiatraut D, Garel L, et al. Intussusception in children: reliability of US diagnosis - a prospective study. Radiology. 1992; 184:741-744.
20. Eshed I, Gorenstein A, Seroui F, et al. Intussusception in children: can we rely on screening sonography performed by junior residents? Pediatr Radiol. 2004;34:134-137.
21. Tiao M, Wan YL, Ng S, et al. Sonographic features of small-bowel intussusception in pediatric patients. Acad Emerg Med. 2001; 8(4):368-373.
22. Dean AJ, Lafferty K, Villanueva TC. Emergency medicine bedside ultrasound diagnosis of intussusception in patient with chronic abdominal pain and unrecognized Peutz-Jeghers syndrome. J Emerg Med. 2003;24(2):203-210.
23. Moore CL, Molina A, Lin H. Ultrasonography in community emergency departments in the United States: access to ultrasonography performed by consultants and status of emergency physician-performed ultrasonography. Ann Emerg Med. 2006;47(2): 147-153.
24. Schlager D, Lazzareschi G, Whitten D, et al. A prospective study of ultrasonography in the ED by emergency physicians. Am J Emerg Med. 1994;12(2):185-189.
25. Mandavia DP, Aragona J, Chan L, et al. Ultrasound training for emergency physicians - a prospective study. Acad Emerg Med. 2000;7: 1008-1014.
26. Daneman A, Navarro O. Intussusception. Part 1: a review of diagnostic approaches. Pediatr Radiol. 2003;33:79-85.
27. Byrne AT, Goeghegan T, et al. The imaging of intussusception. Clin Radiol. 2005;60:39-46.