|
" A Curious Case of Right Upper Quadrant Abdominal Pain "
Grock, MD, Andrew; Chan, MD, Wendy; deSouza, MD, Ian S.
| Document Type
|
:
|
AL
|
| Record Number
|
:
|
933298
|
| Doc. No
|
:
|
LA4z00s4qt
|
| Language of Document
|
:
|
English
|
| Main Entry
|
:
|
Grock, MD, Andrew; Chan, MD, Wendy; deSouza, MD, Ian S.
|
| Title & Author
|
:
|
A Curious Case of Right Upper Quadrant Abdominal Pain [Article]\ Grock, MD, Andrew; Chan, MD, Wendy; deSouza, MD, Ian S.
|
| Title of Periodical
|
:
|
Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health
|
| Volume/ Issue Number
|
:
|
17/5
|
| Date
|
:
|
2016
|
| Abstract
|
:
|
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. [West J Emerg Med. 2016;17(5)630-633.]
|
| |