Point-of-care ultrasound in a resource-limited setting: diagnosing intussusception

J Emerg Med. 2013 Sep;45(3):e67-70. doi: 10.1016/j.jemermed.2013.03.030. Epub 2013 Jun 15.

Abstract

Background: Department of Radiology performed ultrasound for patients suspected of having intussusception in resource-limited settings might be either unavailable or significantly time delayed.

Objective: Our objective was to present a case of intussusception successfully diagnosed by point-of-care ultrasound and to review the sonographic appearance and diagnostic criteria for intussusception.

Case report: An emergency physician utilized point-of-care ultrasound to diagnose intussusception in a young patient in Haiti.

Conclusions: In resource-limited settings, point-of-care ultrasound performed by a physician trained to diagnose intussusception can reduce the time to definitive management and thereby potentially reduce complications such as bowel ischemia and necrosis, dehydration, and sepsis.

Keywords: international Emergency Medicine; intussusception; point-of-care ultrasound.

Publication types

  • Case Reports

MeSH terms

  • Developing Countries*
  • Emergency Service, Hospital*
  • Haiti
  • Humans
  • Ileal Diseases / diagnostic imaging*
  • Ileal Diseases / surgery
  • Ileocecal Valve*
  • Infant
  • Intussusception / diagnostic imaging*
  • Intussusception / surgery
  • Male
  • Point-of-Care Systems*
  • Radiography
  • Ultrasonography