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Clin Pract Cases Emerg Med · Nov 2019
Case ReportsPoint-of-care Transperineal Ultrasound to Diagnose Abscess in the Emergency Department.
- Hamid Shokoohi, Matthew Pyle, Sarah E Frasure, Ubah Dimbil, and Ali Pourmand.
- Harvard Medical School, Massachusetts General Hospital, Boston, Massachusetts.
- Clin Pract Cases Emerg Med. 2019 Nov 1; 3 (4): 349-353.
AbstractPerineal and rectal pain are common presentations in the emergency department (ED). In the majority of cases, clinical examination is sufficient to detect local anorectal pathologies. However, perianal and rectal abscesses and fistulas are often the primary concerns prompting diagnostic imaging in the ED. Currently, computed tomography is the preferred imaging modality. Recently, transperineal ultrasound has emerged as an optimal imaging modality for the diagnosis of perineal and perianal abscesses. We present a case in which point-of-care ultrasound accurately detected an intersphincteric abscess, and review the appropriate ultrasound technique to evaluate patients with suspected perianal and rectal abscesses.Copyright: © 2019 Shokoohi et al.
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