Point-of-Care Ultrasound Diagnosis of Multiple Small Bowel Intussusceptions in a Pediatric Patient with Henoch-Schonlein Purpura
ePoster
Authors: Arun Sen-Gupta, New York Presbyterian Brooklyn Methodist Ahmed Hasan, NYP Sharon Yellin, New York Presbyterian Brooklyn Methodist Michael Zimmerman, NYP Brooklyn Methodist Hospital Nessy Dahan, NewYork-Presbyterian Brooklyn Methodist Hospital ,
In emergency medicine, the use of point-of-care ultrasound (POCUS) can not be understated. This is particularly true when evaluating ill-appearing pediatric patients with vague symptoms who oftentimes cannot communicate their ailments. In this case report, we identified what is to our knowledge the first example of POCUS-identified multiple small bowel intussusceptions in a pediatric patient with new-onset Henoch-Schonlein Purpura (HSP). The patient ultimately required small bowel resection due to the presence of intestinal necrosis. This case highlights how POCUS continues to be a valuable tool in the pediatric emergency department and can aid in the rapid and non-invasive diagnosis of small bowel intussusception in pediatric patients with HSP. Without the use of ultrasound, this young patient could potentially have suffered a devastating and even fatal outcome.