Mohamed A Shehabeldin
Background: Point of Care Ultrasonography (POCUS) is safe and rapidly evolving diagnosis modality and its now utilized by health care and professionals, the technology has been touted as visual stethoscope of the 21st century, abdominal pain continues to pose diagnostic challenges for emergency clinicians. In many cases, the differential diagnosis is wide.
Case presentation: A case of 50-year-old man was presented to the emergency department for evaluation of abdominal pain that started since 3 weeks, with fullness, bloating and occasional pain even though he cannot eat well probably, seen in another clinics and treated for Irritable Bowel Syndrome (IBS). The symptoms are progressively increasing last few days.
A Physical examination of the patient revealed normal vital signs, a distended and painless abdomen by deep palpation, no organomegaly or lymphadenopathy, his initial labs, show normal. Bedside Ultrasonography (US) showed ascites and distended intestinal loops, the patient was admitted to the medical ward, further labs and radiological study was done and diagnosed as small bowel lymphoma.
Conclusion: We present the case report to focus on value of bedside US for guiding the Emergency (ER) medicine physician assessment or even diagnosis besides the other skills.