About
The Capitol Area Ultrasound group is an academic forum for interested members of the emergency medical community. Our purpose is to further education for faculty, residents, medical students, and other health professionals interested in promoting the use of ultrasound to improve patient care in the emergency environment. We will regularly post unusual, interesting, or helpful cases and discuss these cases at our monthly meeting. Questions, feedback, or case suggestions are welcome and may be posted as a comment or emailed to feedback@capitolultrasound.com. Stay tuned!
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Case of the Month: Abdominal Pain with Peutz-Jeghers Sydrome
A 37 yo woman with a history of a rare, inherited polypotic syndrome presented with 12 hours of intermittent abdominal pain, nausea, vomiting. On physical exam she was afebrile, tachycardic and normotensive, with a non-peritoneal but diffusely tender abdomen. Remaining physical exam was unremarkable. She was not found to be pregnant. Bedside ultrasound with both an abdominal and a linear probe revealed the following images:
Image 1: An abdominal probe was used, probe marker oriented to patient’s right shoulder, to obtain this zoomed-in image
Image 2: Pause this 5 second clip at the 3 second mark and focus on the hyperechoic crescent in the right side of the round structure.
Image 3: A linear probe was used to obtain these images of the bowel, which are a few centimeters beneath the anterior abdominal wall. Is this normal?
Early surgical consult was obtained, and a CT scan confirmed the diagnosis. Hint: this is more common in the pediatric population.
Case will be discussed at this Thursday’s Capitol Ultrasound Meeting, April 30th, at the Medical Society of D.C. in Georgetown at 6pm. Come join us for drinks and discussion!
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