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Intestine contusion





Tags: Gastrointestinal sonography, Esaote MyLab 70, Images, Video, Clinical report, Pediatric

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  Intestine contusion
#1

    A teenager with suspected blunt trauma of the abdomen, is directed to an ultrasound scan of the kidneys with complains on pain in the right half of the abdomen that persists for a day after falling from the bicycle onto the handlebars of the same bicycle.

    Prior to this, during the day, she was already came through the Ambulance to another hospital, where only X-ray was performed, which was without pathology.

    On ultrasound of the abdomen and kidneys - without pathology, but was found abnormal echo-pattern of the part of the intestine, just in the projection of pain - the right upper quadrant of the abdomen.

    In this projection, was visualised a part of the fixed intestine with a thickened wall (6-7 mm) - pseudokidney sign, with a small amount of fluid outwardly surrounded by hyperechoic tissues (omentum? omentitis?), with increased blood flow at DPD - presumably infiltrate within intestinal contusion.

    Emergency hospitalization recommended.

    external link

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  21:31 10-10-2021
  Ecografía abdominal pediá...
#2

    Una adolescente ingresó en el Hospital Clínico Infantil con un traumatismo abdominal cerrado como consecuencia de una caída de la bicicleta sobre el manillar de la misma bicicleta.

    Previo a esto, durante el día, ya se pasó por la Ambulancia a otro hospital, donde solo se le realizó radiografía, la cual fue sin patología.

    En la ecografía del abdomen y los riñones, sin patología, pero se encontró un patrón de eco anormal de la parte del intestino, solo en la proyección del dolor, el cuadrante superior derecho del abdomen.

    En esta proyección, se visualizó una parte del intestino fijo con una pared engrosada (hasta 6-7 mm / diagnóstico diferido: contusión, hematoma, etc.) - signo de pseudokidney, con una pequeña cantidad de líquido rodeada exteriormente por tejidos hiperecoicos (diagnóstico diferido: infarto omental, omentitis, etc.), con aumento del flujo sanguíneo en DPD - presumiblemente infiltrado dentro de la contusión intestinal.

    external link


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