Return of the Living Dead Gut - A Case Report of Ischemic Colitis Identified on Point of Care Ultrasound

Ischemic colitis is the most common form of gastrointestinal ischemia 1. The diagnosis of ischemic colitis is made by clinical data and computed tomography (CT) imaging of the abdomen and pelvis 1. While colonoscopy is considered the gold standard for diagnosis, this is not performed in the emergenc...

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Bibliographic Details
Published inPOCUS journal Vol. 9; no. 1; pp. 51 - 54
Main Authors Ledesma, Kandria, Kim, Joseph, Cohen, Allison, Bielawa, Nicholas, Nelson, Mathew
Format Journal Article
LanguageEnglish
Published Canada CINQUILL Medical Publishers Inc 22.04.2024
Subjects
Abdominal point-of-care ultrasound
bowel ultrasound
Case report
emergency medicine
ischemic colitis
Medicine
Emergency Medicine
Bowel Ultrasound
Abdominal point of care ultrasound
Case Report
Ischemic Colitis
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Summary:Ischemic colitis is the most common form of gastrointestinal ischemia 1. The diagnosis of ischemic colitis is made by clinical data and computed tomography (CT) imaging of the abdomen and pelvis 1. While colonoscopy is considered the gold standard for diagnosis, this is not performed in the emergency department (ED) 2. Few studies have been performed to describe the sonographic findings of ischemic colitis using point of care ultrasound (POCUS). We report a case that highlights the sonographic findings of ischemic colitis in a patient who had two separate visits to the ED, showcasing the utility of POCUS in making this diagnosis. POCUS can be used as a diagnostic tool for early detection of ischemic colitis leading to prompt treatment with antibiotics, CT imaging, and surgical consultation.
ISSN:2369-8543
2369-8543
DOI:10.24908/pocus.v9i1.16950