EJMCR |

Case Report

Volume: 8 | Issue: 9 | Published: Nov 05, 2024 | Pages: 209 - 212 | DOI: 10.24911/ejmcr.173-1724966675

Using Point of Care Ultrasound in Diagnosing Pneumoperitoneum: a case report

Authors: Maram Althagafi , Najeeb Alqarni , Bsaim Altirkistani

Article Info

Authors

Maram Althagafi

Pediatric Emergency Department, King Abdulaziz Medical City, Jeddah, Saudi Arabia.

Najeeb Alqarni

Pediatric Emergency Department, King Abdulaziz Medical City, Jeddah, Saudi Arabia.

Bsaim Altirkistani

College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia.

Publication History

Received: August 29, 2024

Accepted: September 12, 2024

Published: November 05, 2024

Abstract

Background: Gastrointestinal perforation with subsequent pneumoperitoneum is a life-threatening surgical emergency, has a high risk of morbidity and mortality, and requires prompt diagnosis and treatment.

Case presentation: A four-year-old boy known case of lymphocele, tethered spinal cord syndrome, neurogenic bladder, and vesicoureteral reflux grade 3 was brought to the emergency department with a history of on and off periumbilical abdominal pain for 15 days, centralized in position, without radiation to other sites of abdomen, the pain became progressively severe in nature and intensity in the last three days. Point of care ultrasound was performed while waiting for the abdomen x-ray. The right upper quadrant of the abdomen was assessed using the curvilinear probe in the longitudinal view, which showed sonographic evidence of pneumoperitoneum, enhanced peritoneal stripe signs EPSS associated with posterior reverberation artifacts.

Conclusion: Understanding the fundamentals of abdominal ultrasound examination will give emergency physicians another diagnostic tool to identify life-threatening cases of acute pneumoperitoneum promptly.

Keywords: point of care, ultrasound, diagnosis, pneumoperitoneum, and pediatrics.

Pubmed Style

Maram Althagafi, Najeeb Alqarni, Bsaim Altirkistani. Using Point of Care Ultrasound in Diagnosing Pneumoperitoneum: a case report. EJMCR. 2024; 05 (November 2024): 209-212. doi:10.24911/ejmcr.173-1724966675

Web Style

Maram Althagafi, Najeeb Alqarni, Bsaim Altirkistani. Using Point of Care Ultrasound in Diagnosing Pneumoperitoneum: a case report. https://ejmcr.com/articles/1338 [Access: December 21, 2024]. doi:10.24911/ejmcr.173-1724966675

AMA (American Medical Association) Style

Vancouver/ICMJE Style

Maram Althagafi, Najeeb Alqarni, Bsaim Altirkistani. Using Point of Care Ultrasound in Diagnosing Pneumoperitoneum: a case report. EJMCR. (2024), [cited December 21, 2024]; 05 (November 2024): 209-212. doi:10.24911/ejmcr.173-1724966675

Harvard Style

Maram Althagafi, Najeeb Alqarni, Bsaim Altirkistani (2024) Using Point of Care Ultrasound in Diagnosing Pneumoperitoneum: a case report. EJMCR, 05 (November 2024): 209-212. doi:10.24911/ejmcr.173-1724966675

Chicago Style

Maram Althagafi, Najeeb Alqarni, Bsaim Altirkistani. "Using Point of Care Ultrasound in Diagnosing Pneumoperitoneum: a case report." 05 (2024), 209-212. doi:10.24911/ejmcr.173-1724966675

MLA (The Modern Language Association) Style

Maram Althagafi, Najeeb Alqarni, Bsaim Altirkistani. "Using Point of Care Ultrasound in Diagnosing Pneumoperitoneum: a case report." 05.November 2024 (2024), 209-212. Print. doi:10.24911/ejmcr.173-1724966675

APA (American Psychological Association) Style

Maram Althagafi, Najeeb Alqarni, Bsaim Altirkistani (2024) Using Point of Care Ultrasound in Diagnosing Pneumoperitoneum: a case report. , 05 (November 2024), 209-212. doi:10.24911/ejmcr.173-1724966675