Diverticulum; Emergency; Screening; Ultrasound; Urinary retention; Emergency Medicine; Emergency Nursing; Critical Care and Intensive Care Medicine
Abstract :
[en] Objective: Bladder diverticula, while not exceptionally rare in clinical practice, presents a significant diagnostic challenge, particularly in remote pre-hospital emergencies where technological limitations and the absence of specialized medical expertise prevail. This report aims to emphasize the role of screening ultrasound in the pre-hospital setting, Case Presentation: A patient experiencing severe lower abdominal pain presented at a basic emergency service (BES) for the third time presenting the same symptoms. Renal and pelvic ultrasound screening was performed, revealing suspected bladder distention and adjacent fluid-filled cavities, consistent with multiple bladder diverticula. Subsequently, the patient was referred to a referral central hospital for management by medical experts. Comprehensive evaluation confirmed the findings of the BES. Conclusion: The results of the screening ultrasound enabled the BES team to initiate clinical interventions to mitigate the patient’s discomfort. Screening ultrasound was crucial in identifying imaging markers that provided the physician with clinical data for correct and prompt patient orientation.
Disciplines :
Radiology, nuclear medicine & imaging
Author, co-author :
Miravent, Sérgio ; Basic Emergency Service of Vila Real de Santo António, Local Health Unit of Algarve, Medical Imaging and Radiotherapy Department, School of Health, University of Algarve, Faro, Portugal
Gomes, Carla; Levante Family Health Unit, Basic Emergency Service of Vila Real de Santo António, Local Health Unit of Algarve, University of Algarve, Faro, Portugal
Basescu, Andrea; Medical Imaging and Radiotherapy Department, School of Health, University of Algarve, Faro, Portugal
Martins, Ana; Medical Imaging and Radiotherapy Department, School of Health, University of Algarve, Faro, Portugal
Lobo, Manuel Duarte; Medical Imaging and Radiotherapy Department, Dr. Lopes Dias School of Health, Polytechnic University of Castelo Branco, Local Health Unit of Northeast, Castelo Branco, Portugal
PEREIRA DE ALMEIDA, Rui Pedro ; University of Luxembourg > Faculty of Science, Technology and Medicine (FSTM) > Department of Health, Medicine and Life Sciences (DHML) > Medical Education
External co-authors :
yes
Language :
English
Title :
Early identification of bladder diverticula in pre-hospital settings using screening sonography: A case report
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