1 Lung Medicine, Department of Clinical Research, Det Sundhedsvidenskabelige Fakultet, SDU2 Det Sundhedsvidenskabelige Fakultet, SDU3 Acute Medicine, Department of Clinical Research, Det Sundhedsvidenskabelige Fakultet, SDU4 Lung Medicine, Department of Clinical Research, Det Sundhedsvidenskabelige Fakultet, SDU
Introduction In this case report we describe how pneumoperitoneum was diagnosed in a patient admitted with acute chest pain, as an incidental finding using focus assessed transthoracic echocardiography (FATE). Case report A 79-year-old male smoker with arterial hypertension was admitted to a coronary unit with a sudden onset of constant left sided thoracic pain. At position 1 (subcostal) of the FATE protocol, the heart and liver could not be visualised. Instead the peritoneum could be seen as a hyperechoic stripe, corresponding horizontal reverberation artefacts was visible under the peritoneal line. Based on these findings, a conventional X-ray image of the abdomen was taken with the patient in the left lateral decubitus position, confirming the diagnosis of pneumoperitoneum. Conclusion This demonstrates how systematic use of FATE combined with knowledge of sonographic patterns in extracardial diseases can directly ensure the patients a quicker diagnosis and treatment.
Critical Ultrasound Journal, 2010, Vol 2, Issue 2, p. 81-3
pneumoperitoneum; ekkokardiografi; brystsmerter; point of care ultrasound