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Incidental findings during emergency sonographic examinations: a case series

Published online by Cambridge University Press:  21 May 2015

John L. Kendal  and
Diku Mandavia
John L. Kendal*
Affiliation:
Department of Emergency Medicine, Denver Health Medical Center, Denver, Colo.
Diku Mandavia
Affiliation:
Department of Emergency Medicine, Los Angeles County/University of Southern California Medical Center, Los Angeles, Calif.
*
Department of Emergency Medicine, Mail Code 0108, Denver Health Medical Center, 777 Bannock St., Denver CO 80204, USA

Abstract

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The teaching of ultrasonography is rapidly being incorporated into emergency medicine (EM) training programs and clinical practice. Most literature focuses on appropriate indications for the performance of emergency ultrasonography, and most EM-related courses and programs limit their teaching to standard focused indications. Generally this will suffice; however, occasionally, incidental findings, which are beyond the realm of what is taught in these programs, have influenced patient care. In this paper we discuss 7 cases in which incidental findings were discovered during an emergency sonographic examination. In each case the findings changed the patient’s disposition, diagnosis and, potentially, outcome.

Type
Case Report • Observations
Information
Canadian Journal of Emergency Medicine , Volume 3 , Issue 2 , April 2001 , pp. 105 - 108
Copyright
Copyright © Canadian Association of Emergency Physicians 2001

References

1.Mateer, J, Plummer, D, Heller, M, Olson, D, Jehle, D, Overton, D, et al. Model curriculum for physician training in emergency ultrasonography. Ann Emerg Med 1994;23:95–102.Google Scholar
3.Mills, P, Joseph, AEA, Adam, EJ.Total abdominal and pelvic ultrasound: incidental findings and a comparison between outpatient and general practice referrals in 1000 cases. Br J Radiol 1989;62:974–6.CrossRefGoogle Scholar
3.Konnak, JW, Grossman, HB.Renal cell carcinoma as an incidental finding. J Urol 1985;134:1094–6.CrossRefGoogle ScholarPubMed
4.Gudbjartsson, T, Einarsson, GV, Magnusson, E.A population-based analysis of survival and incidental diagnosing of renal cell carcinoma patients in Iceland, 1971–1990. Scand J Urol Nephrol 1996;30:453–5.Google Scholar
5.Ueda, T, Mihara, Y.Incidental detection of renal carcinoma during radiological imaging. Br J Urol 1987;59:513–5.Google Scholar
6.Ozen, H, Colowick, A, Freiha, FS.Incidentally discovered solid renal mass: What are they? Br J Urol 1993;72:274–6.Google Scholar
7.Vallancien, G, Torres, LO, Gurfinkel, B.Incidental detection of renal tumours by abdominal ultrasonography. Eur Urol 1990; 18:94–6.CrossRefGoogle ScholarPubMed
8.Porena, M, Vespasiani, G, Rosi, P, Costantini, E, Virgili, G, Mearini, E, et al. Incidentally detected renal cell carcinoma: role of ultrasonography. J Clin Ultrasound 1992;20:395–400.Google Scholar
9.Gandolfi, L, Leo, P, Solmi, L, Vitelli, E, Verros, G, Colecchia. Natural history of hepatic haemangiomas: clinical and ultrasound study. Gut 1991;32:677–80.CrossRefGoogle ScholarPubMed
10.Mandavia, DP, Pregerson, B, Henderson, SO.Ultrasonography of flank pain in the emergency department: renal cell carcinoma as a diagnostic concern. J Emerg Med 2000;18:83–6.Google Scholar
11.Thompson, IM, Peek, M.Improvement in survival of patients with renal cell carcinoma: the role of the serendipitously detected tumor. J Urol 1988;140:487–90.CrossRefGoogle ScholarPubMed
12.Smith, SJ, Bosniak, MA, Megibow, AJ, Weinreb, JC, Coppa, GF.Renal cell carcinoma: earlier discovery and increased detection. Radiology 1989:699–703.Google Scholar
13.Tosaka, A, Ohya, K, Yamada, K, Ohashi, H, Kitahara, S, Sekine, , et al. Incidence and properties of renal masses and asymptomatic renal cell carcinoma detected by abdominal ultrasonography. J Urol 1990;144:1097–9.Google Scholar
14.Schlager, D, Lazzareschi, G, Whitten, D, Sanders, AB.A prospective study of ultrasonography in the emergency department by emergency physicians. Am J Emerg Med 1994;12:185–9.CrossRefGoogle ScholarPubMed