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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Main Authors: Amna Nawaz, Denise Elizondo, Bushra Hussein, Rebecca Theophanous
Format: Article
Language:English
Published: eScholarship Publishing, University of California 2025-01-01
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.
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institution Kabale University
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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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AT bushrahussein cholecystoduodenalfistulaandurosepsisinafebrileemergencydepartmentpatientacasereport
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