Duodenal hematoma in pediatric age: a rare case report

Brillantino, Carmela; Rossi, Eugenio; Baldari, Diana; Minelli, Rocco; Bignardi, Elio; Paviglianiti, Giuseppe; Restivo, Giulia Angela; Cangemi, Maria A.; Zeccolini, Raffaele; Zeccolini, Massimo

doi:10.1007/s40477-020-00545-9

Cited by 11 publications

(3 citation statements)

References 17 publications

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“…In light of the great progress of pediatric clinical ultrasound in other sectors [ 43 – 50 ], our study confirms that prospects in the field of personalized medicine can also be growing for lung ultrasound.…”

Section: Discussionsupporting

confidence: 78%

Role of lung ultrasound for the etiological diagnosis of acute lower respiratory tract infection (ALRTI) in children: a prospective study

et al. 2021

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Objective and design Our prospective study assesses the role of detailed lung ultrasound (LUS) features to discriminate the etiological diagnosis of acute lower respiratory tract infection (ALRTI) in children. Methodology We analyzed patients aged from 1 month to 17 years admitted between March 2018 and April 2020 who were hospitalized for ALRTI. For all patients, history, clinical parameters, microbiological data, and lung ultrasound data were collected. Patients were stratified into three main groups (“bacterial”, “viral”, “atypical”) according to the presumed microbial etiology and LUS findings evaluated according to the etiological group. Nasopharyngeal swabs were obtained from all patients. A qualitative diagnostic test developed by Nurex S.r.l. was used for identification of bacterial and fungal DNA in respiratory samples. The Seegene Allplex™ Respiratory assays were used for the molecular diagnosis of viral respiratory pathogens. In addition, bacterial culture of blood and respiratory samples were performed, when indicated. Results A total of 186 children with suspected ALRTI (44% female) with an average age of 6 were enrolled in the study. We found that some ultrasound findings as size, number and distribution of consolidations, the position and motion of air bronchograms, pleural effusions and distribution of vertical artifacts significantly differ (p < 0.05) in children with bacterial, viral and atypical ALRTI. Conclusion Our study provides a detailed analysis of LUS features able to predict the ALRTI ethology in children. These findings may help the physicians to better manage a child with ALRTI and to offer personalized approach, from diagnosis to treatment and follow-up.

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Section: Discussionsupporting

confidence: 78%

Role of lung ultrasound for the etiological diagnosis of acute lower respiratory tract infection (ALRTI) in children: a prospective study

et al. 2021

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“…Ultrasound has been established as a therapeutical-diagnostic tool to be used on paediatric patients, as it is a noninvasive and highly profitable system for health screening. In addition, this system makes it possible to assess different organs and organic systems and to diagnose infrequent complications [22][23][24][25][26] Vascular cannulation has experienced a major advance with the use of ultrasound-based guidance. However, such an approach requires a learning process, which should ideally be carried out in simulation models.…”

Section: Discussionmentioning

confidence: 99%

“…A further advantage of the UGVC approach, described in the literature, is a reduction in the complications rate [29,37,44,45]. Stone et al [24] emphasized the importance of monitoring the needle tip to reduce the rate of vascular complications, because failure to see it may lead to unadvertised puncture of vital anatomical structures or posterior vessel walls, or to unsuccessful cannulation [37,45]. In a published series of adult patients, Vogel et al [37] reported around 20% prevalence of accidental puncture of the posterior wall of the internal jugular vein; a finding also reported by Song et al [44] in a paediatric study involving the radial and posterior tibial arteries.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound-guided pediatric vascular cannulation by inexperienced operators: outcomes in a training model

et al. 2021

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An unusual location of hand, foot and mouth disease

et al. 2021

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Hand, foot, and mouth disease (HFMD) is a childhood febrile disease. Oral lesions and papulovesicular lesions on the hands and feet are the clinical signs of the disease. In our case, a 17-year-old boy presented to the emergency department, where he was diagnosed with HFMD. After 6 days, he felt intense pain in his right testicle, and therefore an ultrasound (US) examination was performed. US detected a hypoechoic mass-like area in the right testis. Viral etiology was suspected, and no therapy was prescribed. After a little more than 3 months, US examination showed a reduced lesion size. Viral epididymo-orchitis should be suspected in young men with a recent history of HFMD and testicular pain.

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Duodenal hematoma in pediatric age: a rare case report

Cited by 11 publications

References 17 publications

Role of lung ultrasound for the etiological diagnosis of acute lower respiratory tract infection (ALRTI) in children: a prospective study

Role of lung ultrasound for the etiological diagnosis of acute lower respiratory tract infection (ALRTI) in children: a prospective study

Ultrasound-guided pediatric vascular cannulation by inexperienced operators: outcomes in a training model

An unusual location of hand, foot and mouth disease

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