• Pediatric emergency care · Jul 2022

    Point-of-Care Ultrasound Assessment of Orbital Rhabdomyosarcoma in a Pediatric Patient.

    • Francesca R Nichols, Mylinh T Nguyen, Atim Ekpenyong, and Kathryn H Pade.
    • From the Rady Children's Hospital San Diego, UCSD School of Medicine, San Diego, CA.
    • Pediatr Emerg Care. 2022 Jul 1; 38 (7): 339341339-341.

    AbstractRhabdomyosarcoma is the most common soft tissue tumor in children and orbital lesions account for 10% of these diagnoses. This case describes a young boy who presented with eyelid swelling that was initially concerning for an expanding hematoma given a history of recent trauma to the eye. Point-of-care ultrasound identified 2 distinct lesions surrounding the globe, which prompted further investigation, including ophthalmology consult and computed tomography. The case presented highlights the initial misdiagnosis on both point-of-care ultrasound and computed tomography and the importance of using color Doppler on ultrasound to distinguish an orbital rhabdomyosarcoma from a posttraumatic hematoma.Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.

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