Point-of-care Transperineal Ultrasound to Diagnose Abscess in the Emergency Department
Perineal and rectal pain are common presentations in the emergency department (ED). In the majority of cases, clinical examination is sufficient to detect local anorectal pathologies. However, perianal and rectal abscesses and fistulas are often the primary concerns prompting diagnostic imaging in t...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
eScholarship Publishing, University of California
2019-11-01
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| Series: | Clinical Practice and Cases in Emergency Medicine |
| Online Access: | https://escholarship.org/uc/item/1kp9s5pf |
| _version_ | 1818923190036987904 |
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| author | Hamid Shokoohi Matthew Pyle Sarah E. Frasure Ubah Dimbil Ali Pourmand |
| author_facet | Hamid Shokoohi Matthew Pyle Sarah E. Frasure Ubah Dimbil Ali Pourmand |
| author_sort | Hamid Shokoohi |
| collection | DOAJ |
| description | Perineal and rectal pain are common presentations in the emergency department (ED). In the majority of cases, clinical examination is sufficient to detect local anorectal pathologies. However, perianal and rectal abscesses and fistulas are often the primary concerns prompting diagnostic imaging in the ED. Currently, computed tomography is the preferred imaging modality. Recently, transperineal ultrasound has emerged as an optimal imaging modality for the diagnosis of perineal and perianal abscesses. We present a case in which point-of-care ultrasound accurately detected an intersphincteric abscess, and review the appropriate ultrasound technique to evaluate patients with suspected perianal and rectal abscesses. |
| first_indexed | 2024-12-20T02:05:29Z |
| format | Article |
| id | doaj.art-41894fa6813d41c2bfd0b901a4b40850 |
| institution | Directory Open Access Journal |
| issn | 2474-252X |
| language | English |
| last_indexed | 2024-12-20T02:05:29Z |
| publishDate | 2019-11-01 |
| publisher | eScholarship Publishing, University of California |
| record_format | Article |
| series | Clinical Practice and Cases in Emergency Medicine |
| spelling | doaj.art-41894fa6813d41c2bfd0b901a4b408502022-12-21T19:57:13ZengeScholarship Publishing, University of CaliforniaClinical Practice and Cases in Emergency Medicine2474-252X2019-11-013410.5811/cpcem.2019.6.43514cpcem-03-349Point-of-care Transperineal Ultrasound to Diagnose Abscess in the Emergency DepartmentHamid Shokoohi0Matthew Pyle1Sarah E. Frasure2Ubah Dimbil3Ali Pourmand4Harvard Medical School, Massachusetts General Hospital, Boston, MassachusettsThe George Washington University School of Medicine and Health Sciences, Washington, District of ColumbiaThe George Washington University School of Medicine and Health Sciences, Washington, District of ColumbiaThe George Washington University School of Medicine and Health Sciences, Washington, District of ColumbiaThe George Washington University School of Medicine and Health Sciences, Washington, District of ColumbiaPerineal and rectal pain are common presentations in the emergency department (ED). In the majority of cases, clinical examination is sufficient to detect local anorectal pathologies. However, perianal and rectal abscesses and fistulas are often the primary concerns prompting diagnostic imaging in the ED. Currently, computed tomography is the preferred imaging modality. Recently, transperineal ultrasound has emerged as an optimal imaging modality for the diagnosis of perineal and perianal abscesses. We present a case in which point-of-care ultrasound accurately detected an intersphincteric abscess, and review the appropriate ultrasound technique to evaluate patients with suspected perianal and rectal abscesses.https://escholarship.org/uc/item/1kp9s5pf |
| spellingShingle | Hamid Shokoohi Matthew Pyle Sarah E. Frasure Ubah Dimbil Ali Pourmand Point-of-care Transperineal Ultrasound to Diagnose Abscess in the Emergency Department Clinical Practice and Cases in Emergency Medicine |
| title | Point-of-care Transperineal Ultrasound to Diagnose Abscess in the Emergency Department |
| title_full | Point-of-care Transperineal Ultrasound to Diagnose Abscess in the Emergency Department |
| title_fullStr | Point-of-care Transperineal Ultrasound to Diagnose Abscess in the Emergency Department |
| title_full_unstemmed | Point-of-care Transperineal Ultrasound to Diagnose Abscess in the Emergency Department |
| title_short | Point-of-care Transperineal Ultrasound to Diagnose Abscess in the Emergency Department |
| title_sort | point of care transperineal ultrasound to diagnose abscess in the emergency department |
| url | https://escholarship.org/uc/item/1kp9s5pf |
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