International journal of emergency medicine · 2025
Point of care ultrasound in rapid diagnosis of acute cholangitis and emphysematous cholecystitis: a case report.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Chae Min Seok, Kravchuk Olga A
Аннотация
BACKGROUND: Emphysematous cholecystitis is a rare and rapidly progressive disease that requires prompt diagnosis and intervention. Point of care ultrasound (POCUS) is a useful diagnostic imaging tool in the emergency department that can help expedite diagnosis and management of biliary etiology.
CASE PRESENTATION: In our case, we describe an 85 year old female with a history of diabetes mellitus with a presentation consistent with undifferentiated cholecystitis. Point of care ultrasound performed in the emergency department showed a characteristic "champagne sign", along with other findings including dilated common bile duct and pericholecystic fluid. These findings ultimately led to the diagnosis of emphysematous cholecystitis and acute cholangitis. The use of ultrasound expedited the patient's cholecystostomy tube placement and subsequent endoscopic retrograde cholangiopancreatography, proving to be a life-saving tool in the management of this patient.
CONCLUSION: POCUS can be an important tool for the diagnosis of undifferentiated biliary etiology, expediting the management of these patients.
CASE PRESENTATION: In our case, we describe an 85 year old female with a history of diabetes mellitus with a presentation consistent with undifferentiated cholecystitis. Point of care ultrasound performed in the emergency department showed a characteristic "champagne sign", along with other findings including dilated common bile duct and pericholecystic fluid. These findings ultimately led to the diagnosis of emphysematous cholecystitis and acute cholangitis. The use of ultrasound expedited the patient's cholecystostomy tube placement and subsequent endoscopic retrograde cholangiopancreatography, proving to be a life-saving tool in the management of this patient.
CONCLUSION: POCUS can be an important tool for the diagnosis of undifferentiated biliary etiology, expediting the management of these patients.