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" Sonographic Detection of a Torsed Meckel’s Diverticulum Misinterpreted as Acute Appendicitis "
Choi, Justin; Dorinzi, Nicole; Pagenhardt, Justine; Steratore, Anthony; Sharon, Melinda; Minardi, Joseph
Document Type
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AL
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Record Number
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928110
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Doc. No
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LA0mp4q2r0
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Language of Document
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English
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Main Entry
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Choi, Justin; Dorinzi, Nicole; Pagenhardt, Justine; Steratore, Anthony; Sharon, Melinda; Minardi, Joseph
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Title & Author
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Sonographic Detection of a Torsed Meckel’s Diverticulum Misinterpreted as Acute Appendicitis [Article]\ Choi, Justin; Dorinzi, Nicole; Pagenhardt, Justine; Steratore, Anthony; Sharon, Melinda; Minardi, Joseph
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Title of Periodical
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Clinical Practice and Cases in Emergency Medicine
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Volume/ Issue Number
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3/3
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Date
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2019
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Abstract
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A 38-year-old female presented to the emergency department (ED) with acute-onset right lower quadrant abdominal pain following two days of nausea and vomiting. Physical examination revealed right lower quadrant tenderness to palpation, rebound tenderness, and guarding. Point-of-care ultrasound (POCUS) of the right lower abdomen was performed and interpreted as probable appendicitis. However, upon laparoscopic examination of the abdomen, a benign-appearing appendix was visualized. Further investigation revealed the source of the patient’s pain to be a torsed Meckel’s diverticulum. Although rare, a torsed and inflamed Meckel’s diverticulum can be visualized by POCUS in the ED without the need for further imaging or delay.
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