• Pediatric emergency care · Oct 2020

    Case Reports

    Point-of-Care Ultrasound Diagnosis of Ureteropelvic Junction Obstruction in a Child With Recurrent Abdominal Pain and Vomiting.

    • Evan M Fox and Kathryn E Kasmire.
    • From the Department of Emergency Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, PA.
    • Pediatr Emerg Care. 2020 Oct 1; 36 (10): 497-499.

    AbstractA case is described of a 4 year-old girl who presented with chronic episodic abdominal pain with vomiting. Physical examination was unremarkable aside from hypertension. Point-of-care renal ultrasound showed hydronephrosis, leading to a diagnosis of ureteropelvic junction obstruction presenting with Dietl crisis (episodic abdominal pain secondary to urinary tract obstruction). The clinical utility of point-of-care renal ultrasound in the evaluation of abdominal pain and ultrasound findings of ureteropelvic junction obstruction are highlighted.

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