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A Curious Case of Right Upper Quadrant Abdominal Pain
An otherwise healthy 36-year-old man presented with sudden-onset right upper quadrant abdominal pain and vomiting. A bedside ultrasound, performed to evaluate hepatobiliary pathology, revealed a normal gallbladder but free intraperitoneal fluid. After an expedited CT and emergent explorative laparot...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Department of Emergency Medicine, University of California, Irvine School of Medicine
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5017852/ https://www.ncbi.nlm.nih.gov/pubmed/27625732 http://dx.doi.org/10.5811/westjem.2016.7.31011 |
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author | Grock, Andrew Chan, Wendy deSouza, Ian S. |
author_facet | Grock, Andrew Chan, Wendy deSouza, Ian S. |
author_sort | Grock, Andrew |
collection | PubMed |
description | An otherwise healthy 36-year-old man presented with sudden-onset right upper quadrant abdominal pain and vomiting. A bedside ultrasound, performed to evaluate hepatobiliary pathology, revealed a normal gallbladder but free intraperitoneal fluid. After an expedited CT and emergent explorative laparotomy, the patient was diagnosed with a small bowel obstruction with ischemia secondary to midgut volvulus. Though midgut volvulus is rare in adults, delays in definitive diagnosis and management can result in bowel necrosis. Importantly, an emergency physician must be able to recognize bedside ultrasound findings associated with acutely dangerous intrabdominal pathology. |
format | Online Article Text |
id | pubmed-5017852 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Department of Emergency Medicine, University of California, Irvine School of Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-50178522016-09-13 A Curious Case of Right Upper Quadrant Abdominal Pain Grock, Andrew Chan, Wendy deSouza, Ian S. West J Emerg Med Diagnostic Acumen An otherwise healthy 36-year-old man presented with sudden-onset right upper quadrant abdominal pain and vomiting. A bedside ultrasound, performed to evaluate hepatobiliary pathology, revealed a normal gallbladder but free intraperitoneal fluid. After an expedited CT and emergent explorative laparotomy, the patient was diagnosed with a small bowel obstruction with ischemia secondary to midgut volvulus. Though midgut volvulus is rare in adults, delays in definitive diagnosis and management can result in bowel necrosis. Importantly, an emergency physician must be able to recognize bedside ultrasound findings associated with acutely dangerous intrabdominal pathology. Department of Emergency Medicine, University of California, Irvine School of Medicine 2016-09 2016-08-08 /pmc/articles/PMC5017852/ /pubmed/27625732 http://dx.doi.org/10.5811/westjem.2016.7.31011 Text en © 2016 Grock et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by/4.0/ |
spellingShingle | Diagnostic Acumen Grock, Andrew Chan, Wendy deSouza, Ian S. A Curious Case of Right Upper Quadrant Abdominal Pain |
title | A Curious Case of Right Upper Quadrant Abdominal Pain |
title_full | A Curious Case of Right Upper Quadrant Abdominal Pain |
title_fullStr | A Curious Case of Right Upper Quadrant Abdominal Pain |
title_full_unstemmed | A Curious Case of Right Upper Quadrant Abdominal Pain |
title_short | A Curious Case of Right Upper Quadrant Abdominal Pain |
title_sort | curious case of right upper quadrant abdominal pain |
topic | Diagnostic Acumen |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5017852/ https://www.ncbi.nlm.nih.gov/pubmed/27625732 http://dx.doi.org/10.5811/westjem.2016.7.31011 |
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