Cholecystoduodenal Fistula and Urosepsis in A Febrile Emergency Department Patient: A Case Report
Introduction: Point-of-care ultrasound (POCUS) is a rapid bedside tool, particularly in undifferentiated emergency department patients. Point-of-care ultrasound can investigate potential intra-abdominal infections in febrile patients, especially in the elderly, who often present atypically without a...
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eScholarship Publishing, University of California
2025-01-01
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Series: | Clinical Practice and Cases in Emergency Medicine |
Online Access: | https://escholarship.org/uc/item/5507w9zg |
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author | Amna Nawaz Denise Elizondo Bushra Hussein Rebecca Theophanous |
author_facet | Amna Nawaz Denise Elizondo Bushra Hussein Rebecca Theophanous |
author_sort | Amna Nawaz |
collection | DOAJ |
description | Introduction: Point-of-care ultrasound (POCUS) is a rapid bedside tool, particularly in undifferentiated emergency department patients. Point-of-care ultrasound can investigate potential intra-abdominal infections in febrile patients, especially in the elderly, who often present atypically without abdominal pain or localizing symptoms. Case Report: We highlight the important POCUS findings of cholecystoduodenal fistula and staghorn calculus in a febrile, elderly patient with dementia. Conclusion: Early recognition of cholecystoduodenal fistula and staghorn calculus using POCUS can expedite appropriate antibiotic and interventional treatment for improved patient outcomes. |
format | Article |
id | doaj-art-6148bb90db1443e887440dfb4e0033ea |
institution | Kabale University |
issn | 2474-252X |
language | English |
publishDate | 2025-01-01 |
publisher | eScholarship Publishing, University of California |
record_format | Article |
series | Clinical Practice and Cases in Emergency Medicine |
spelling | doaj-art-6148bb90db1443e887440dfb4e0033ea2025-02-04T17:35:19ZengeScholarship Publishing, University of CaliforniaClinical Practice and Cases in Emergency Medicine2474-252X2025-01-0191414410.5811/cpcem.21291cpcem-9-41Cholecystoduodenal Fistula and Urosepsis in A Febrile Emergency Department Patient: A Case ReportAmna Nawaz0Denise Elizondo1Bushra Hussein2Rebecca Theophanous3Duke University School of Medicine, Department of Emergency Medicine, Durham, North CarolinaDuke University School of Medicine, Department of Emergency Medicine, Durham, North CarolinaDuke University School of Medicine, Department of Emergency Medicine, Durham, North CarolinaDuke University School of Medicine, Department of Emergency Medicine, Durham, North CarolinaIntroduction: Point-of-care ultrasound (POCUS) is a rapid bedside tool, particularly in undifferentiated emergency department patients. Point-of-care ultrasound can investigate potential intra-abdominal infections in febrile patients, especially in the elderly, who often present atypically without abdominal pain or localizing symptoms. Case Report: We highlight the important POCUS findings of cholecystoduodenal fistula and staghorn calculus in a febrile, elderly patient with dementia. Conclusion: Early recognition of cholecystoduodenal fistula and staghorn calculus using POCUS can expedite appropriate antibiotic and interventional treatment for improved patient outcomes.https://escholarship.org/uc/item/5507w9zg |
spellingShingle | Amna Nawaz Denise Elizondo Bushra Hussein Rebecca Theophanous Cholecystoduodenal Fistula and Urosepsis in A Febrile Emergency Department Patient: A Case Report Clinical Practice and Cases in Emergency Medicine |
title | Cholecystoduodenal Fistula and Urosepsis in A Febrile Emergency Department Patient: A Case Report |
title_full | Cholecystoduodenal Fistula and Urosepsis in A Febrile Emergency Department Patient: A Case Report |
title_fullStr | Cholecystoduodenal Fistula and Urosepsis in A Febrile Emergency Department Patient: A Case Report |
title_full_unstemmed | Cholecystoduodenal Fistula and Urosepsis in A Febrile Emergency Department Patient: A Case Report |
title_short | Cholecystoduodenal Fistula and Urosepsis in A Febrile Emergency Department Patient: A Case Report |
title_sort | cholecystoduodenal fistula and urosepsis in a febrile emergency department patient a case report |
url | https://escholarship.org/uc/item/5507w9zg |
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