Pub Date : 2023-08-23DOI: 10.1177/87564793231192511
{"title":"JSDMS CME Credit – Complications of Delayed Arterial Injury After a Gun Shot Wound to the Upper Extremity: A Case Study","authors":"","doi":"10.1177/87564793231192511","DOIUrl":"https://doi.org/10.1177/87564793231192511","url":null,"abstract":"","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":"149 1","pages":"532 - 532"},"PeriodicalIF":0.3,"publicationDate":"2023-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77085833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-23DOI: 10.1177/87564793231192488
{"title":"SDMS CME Credit – Understanding the Downstream Effects of the COVID-19 Pandemic on Sonographers and Vascular Technologists: Healthcare Heroes’ Kryptonite!","authors":"","doi":"10.1177/87564793231192488","DOIUrl":"https://doi.org/10.1177/87564793231192488","url":null,"abstract":"","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":"61 sup1 1","pages":"441 - 441"},"PeriodicalIF":0.3,"publicationDate":"2023-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84621074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-17DOI: 10.1177/87564793231192831
F. Mohammadi, Seyedamir Tabibzadeh Dezfooli, Babak Sadeghzadeh, M. Chardoli, H. Basir Ghafouri, M. Rezai, R. Mosaddegh, Samira Vaziri
Objective: The aim of this study was to determine the extent of agreement on the measured echographic ejection fraction measured by emergency medicine (EM) residents compared with a cardiologist. Materials and Methods: This study was conducted with cardiac patients admitted to a hospital emergency department in Tehran, Iran. A total of 156 patient cases were reviewed. A group of trained EM residents evaluated the ejection fraction (EF) of these patients utilizing three different methods: Simpson’s method (N = 50), E-Point Septal Separation (EPSS, N = 56), and a visual technique (N = 50). A final assessment was made for all patients by a cardiologist. Results: In 69.3% of these patient cases, there was a significant correlation between the EM residents’ report and the cardiologists, with Cohen’s Kappa coefficient of .746 (P < .001). The Kappa coefficient for the visual technique, Simpson’s method, and EPSS was .697, .467, and .487, respectively. The sensitivity, specificity, positive and negative predictive values of EF measurements, provided by the EM residents, were 0.89%, 64.2%, 81.6%, and 76.5% compared with the cardiologist, respectively. Conclusion: This description study was done to determine the agreement of echocardiographic measurement of EF, assessed by trained EM residents, compared with a cardiologist’s review. In this case, the results demonstrated moderate to good agreement.
{"title":"Determining the Extent of Agreement for Determining the Echographic Ejection Fraction Determined by Emergency Medicine Residents Compared with a Cardiologist","authors":"F. Mohammadi, Seyedamir Tabibzadeh Dezfooli, Babak Sadeghzadeh, M. Chardoli, H. Basir Ghafouri, M. Rezai, R. Mosaddegh, Samira Vaziri","doi":"10.1177/87564793231192831","DOIUrl":"https://doi.org/10.1177/87564793231192831","url":null,"abstract":"Objective: The aim of this study was to determine the extent of agreement on the measured echographic ejection fraction measured by emergency medicine (EM) residents compared with a cardiologist. Materials and Methods: This study was conducted with cardiac patients admitted to a hospital emergency department in Tehran, Iran. A total of 156 patient cases were reviewed. A group of trained EM residents evaluated the ejection fraction (EF) of these patients utilizing three different methods: Simpson’s method (N = 50), E-Point Septal Separation (EPSS, N = 56), and a visual technique (N = 50). A final assessment was made for all patients by a cardiologist. Results: In 69.3% of these patient cases, there was a significant correlation between the EM residents’ report and the cardiologists, with Cohen’s Kappa coefficient of .746 (P < .001). The Kappa coefficient for the visual technique, Simpson’s method, and EPSS was .697, .467, and .487, respectively. The sensitivity, specificity, positive and negative predictive values of EF measurements, provided by the EM residents, were 0.89%, 64.2%, 81.6%, and 76.5% compared with the cardiologist, respectively. Conclusion: This description study was done to determine the agreement of echocardiographic measurement of EF, assessed by trained EM residents, compared with a cardiologist’s review. In this case, the results demonstrated moderate to good agreement.","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":"15 1","pages":"569 - 574"},"PeriodicalIF":0.3,"publicationDate":"2023-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72546615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-14DOI: 10.1177/87564793231187418
Erica Wiencek
{"title":"The Need for Providing Culturally Sensitive Health Care: Be an Advocate","authors":"Erica Wiencek","doi":"10.1177/87564793231187418","DOIUrl":"https://doi.org/10.1177/87564793231187418","url":null,"abstract":"","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":"9 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83204153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-08DOI: 10.1177/87564793231191506
Fatemeh Kheiridoost Langroudi, T. Faghihi Langroudi, N. Akhoundi, Alireza Siami
Objective: The aim was to assess the relationship between the coronary calcium score and the common bile duct (CBD) diameter, to determine whether the increase in CBD diameter in patients without hepatobiliary disease could represent cardiovascular disease, or the extent of atherosclerosis in coronary arteries. Materials and Methods: The study cohort consisted of 103 patients referred for computed tomographic angiography (CTA) for coronary artery assessment. None of the patients had a gallbladder, biliary, or pancreatic disease or surgery history. The Agatston score determined the rates of arterial calcification. The diameter of the CBD was measured for a sonogram. Results: There was a statistically significant relatively strong correlation between calcium score and CBD diameter (r = 0.44, P = .001), independent of baseline variables, such as demographics and cardiovascular risk profiles. In the multivariable regression model, advanced age (beta = 0.825, P = .005), history of hypertension (beta = 0.591, P = .034), and history of coronary stenting (beta = 1.339, P = .001) were shown to be the main determinants of CBD dilatation. Conclusion: A statistically significant correlation existed between the CBD diameter and calcium score, within the coronary arteries and this could represent a shared pathophysiology between CBD dilatation and the severity of coronary atherosclerosis.
目的:评估冠状动脉钙评分与胆总管(CBD)直径的关系，以确定无肝胆疾病患者的CBD直径增加是否代表心血管疾病，或冠状动脉粥样硬化的程度。材料和方法:研究队列包括103例接受计算机断层血管造影(CTA)评估冠状动脉的患者。所有患者均无胆囊、胆道或胰腺疾病或手术史。Agatston评分决定动脉钙化率。用超声图测量CBD的直径。结果:钙评分与CBD直径之间存在统计学意义上的相对强相关性(r = 0.44, P = .001)，独立于基线变量，如人口统计学和心血管风险谱。在多变量回归模型中，高龄(β = 0.825, P = 0.005)、高血压史(β = 0.591, P = 0.034)和冠状动脉支架植入术史(β = 1.339, P = 0.001)是CBD扩张的主要决定因素。结论:冠状动脉内CBD直径与钙评分之间存在统计学意义上的相关性，这可能代表了CBD扩张与冠状动脉粥样硬化严重程度之间的共同病理生理。
{"title":"The Association Between Common Bile Duct Diameter and the Severity of Coronary Artery Atherosclerosis, Based on Calcium Score","authors":"Fatemeh Kheiridoost Langroudi, T. Faghihi Langroudi, N. Akhoundi, Alireza Siami","doi":"10.1177/87564793231191506","DOIUrl":"https://doi.org/10.1177/87564793231191506","url":null,"abstract":"Objective: The aim was to assess the relationship between the coronary calcium score and the common bile duct (CBD) diameter, to determine whether the increase in CBD diameter in patients without hepatobiliary disease could represent cardiovascular disease, or the extent of atherosclerosis in coronary arteries. Materials and Methods: The study cohort consisted of 103 patients referred for computed tomographic angiography (CTA) for coronary artery assessment. None of the patients had a gallbladder, biliary, or pancreatic disease or surgery history. The Agatston score determined the rates of arterial calcification. The diameter of the CBD was measured for a sonogram. Results: There was a statistically significant relatively strong correlation between calcium score and CBD diameter (r = 0.44, P = .001), independent of baseline variables, such as demographics and cardiovascular risk profiles. In the multivariable regression model, advanced age (beta = 0.825, P = .005), history of hypertension (beta = 0.591, P = .034), and history of coronary stenting (beta = 1.339, P = .001) were shown to be the main determinants of CBD dilatation. Conclusion: A statistically significant correlation existed between the CBD diameter and calcium score, within the coronary arteries and this could represent a shared pathophysiology between CBD dilatation and the severity of coronary atherosclerosis.","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":"14 1","pages":"561 - 567"},"PeriodicalIF":0.3,"publicationDate":"2023-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80640122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-08DOI: 10.1177/87564793231191438
Amanda Nedwick
A pheochromocytoma is a rare catecholamine secreting neuroendocrine tumor, originating within the adrenal medulla. Most cases present with a hypertensive crisis and a classic triad of headaches, sweating, and palpitations. A positive prognosis is projected for patients after operative removal of the tumor. Early detection of this tumor is crucial as it can be fatal if left untreated. Clinical signs and symptoms, diagnostic criteria, and imaging appearances are described to assist in this case of a pheochromocytoma, detected in a pediatric patient. A 16-year-old female presented to the hospital with symptoms of chest pain, hypertensive crisis, and vision loss. A renal sonogram was performed and revealed a left sided adrenal mass. Correlating the sonogram with magnetic resonance imaging (MRI), tumor markers, and clinical presentation confirmed this pathology as a benign pheochromocytoma in a pediatric patient with hypertension. Medical and surgical intervention was provided to yeild a positive outcome for this patient.
{"title":"Pheochromocytoma in a Pediatric Patient: A Case Report","authors":"Amanda Nedwick","doi":"10.1177/87564793231191438","DOIUrl":"https://doi.org/10.1177/87564793231191438","url":null,"abstract":"A pheochromocytoma is a rare catecholamine secreting neuroendocrine tumor, originating within the adrenal medulla. Most cases present with a hypertensive crisis and a classic triad of headaches, sweating, and palpitations. A positive prognosis is projected for patients after operative removal of the tumor. Early detection of this tumor is crucial as it can be fatal if left untreated. Clinical signs and symptoms, diagnostic criteria, and imaging appearances are described to assist in this case of a pheochromocytoma, detected in a pediatric patient. A 16-year-old female presented to the hospital with symptoms of chest pain, hypertensive crisis, and vision loss. A renal sonogram was performed and revealed a left sided adrenal mass. Correlating the sonogram with magnetic resonance imaging (MRI), tumor markers, and clinical presentation confirmed this pathology as a benign pheochromocytoma in a pediatric patient with hypertension. Medical and surgical intervention was provided to yeild a positive outcome for this patient.","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":"3 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81390740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-31DOI: 10.1177/87564793231188423
G. Menozzi, A. Ricci, Francesca Maria Farina, G. Elisa, Valeria Maccabruni, B. Marani, L. Arletti, Carlo Grendene
Hemorrhage within the biliary system (hemobilia), is an infrequent complication that can arise during percutaneous procedures involving the liver. The clinical diagnosis of hemobilia is often challenging, as symptoms are quite unspecific and often display a late onset. In such cases, sonography of the gallbladder can play a crucial role in the early detection of hemobilia. A case report is provided of a 72-year-old man who underwent a sonography-guided percutaneous biopsy of a 22-mm focal lesion, within the eighth segment of the liver. In this patient, asymptomatic active hemobilia was promptly identified through contrast-enhanced ultrasound (CEUS) which was performed immediately after the invasive procedure. Crucially, this postprocedural complication may have gone undiagnosed without an early postprocedure grayscale visual analysis and CEUS evaluation, since the patient was completely asymptomatic. In conclusion, a grayscale sonogram of the gallbladder is suggested and should be considered before and immediately after percutaneous invasive procedures of the liver. In the instances where suspicion of hemobilia arises, CEUS can be used to assess the presence of active bleeding. Implementing this type of imaging protocol may possibly reveal a higher frequency of hemobilia than is commonly reported.
{"title":"An Asymptomatic, Iatrogenic Hemobilia Detected by Contrast Enhanced Ultrasound of the Gallbladder","authors":"G. Menozzi, A. Ricci, Francesca Maria Farina, G. Elisa, Valeria Maccabruni, B. Marani, L. Arletti, Carlo Grendene","doi":"10.1177/87564793231188423","DOIUrl":"https://doi.org/10.1177/87564793231188423","url":null,"abstract":"Hemorrhage within the biliary system (hemobilia), is an infrequent complication that can arise during percutaneous procedures involving the liver. The clinical diagnosis of hemobilia is often challenging, as symptoms are quite unspecific and often display a late onset. In such cases, sonography of the gallbladder can play a crucial role in the early detection of hemobilia. A case report is provided of a 72-year-old man who underwent a sonography-guided percutaneous biopsy of a 22-mm focal lesion, within the eighth segment of the liver. In this patient, asymptomatic active hemobilia was promptly identified through contrast-enhanced ultrasound (CEUS) which was performed immediately after the invasive procedure. Crucially, this postprocedural complication may have gone undiagnosed without an early postprocedure grayscale visual analysis and CEUS evaluation, since the patient was completely asymptomatic. In conclusion, a grayscale sonogram of the gallbladder is suggested and should be considered before and immediately after percutaneous invasive procedures of the liver. In the instances where suspicion of hemobilia arises, CEUS can be used to assess the presence of active bleeding. Implementing this type of imaging protocol may possibly reveal a higher frequency of hemobilia than is commonly reported.","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":"107 1 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89742885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-27DOI: 10.1177/87564793231187323
Seyed Mohammad Sadegh Ghadiri Asli, Ameneh khalilzadeh Sabetmasouleh, N. Akhoundi, Alireza Siami
Objective: The study was conducted to determine the value of various lung ultrasonography (LUS) findings in diagnosing neonatal respiratory distress syndrome (RDS) and to assess the ability of ultrasonography to predict the need for surfactant treatment. Materials and Methods: This cohort study was conducted on 164 neonates with RDS with a gestational age of over 28 weeks. Transthoracic sonography was performed in all patients in the infant isolet immediately after admission and stabilization of the infant and during the first 6 hours before surfactant treatment. Immediately after the sonogram, the neonates underwent an anterior–posterior view chest radiograph, before and after surfactant treatment. Results: In comparison with clinical manifestations and radiographic findings as the references, the sensitivity and specificity of each of the LUS-related parameters for detecting RDS were as follows: Faded A-lines (95.4% and 76.7%), abnormal B-lines (91.7% and 71.6%), the presence of consolidation (90.9% and 88.3%), the presence of pleural effusion (95% and 86.7%), and alveolar–interstitial syndrome (AIS) (98% and 96%). Conclusion: LUS findings were valuable in assessing and grading the severity of neonatal RDS alongside clinical evaluation. LUS may assist in selecting infants for surfactant therapy and monitoring treatment response.
{"title":"The Accuracy of Various Lung Ultrasonography Findings in Predicting the Necessity for Surfactant Treatment in Neonates With Respiratory Distress Syndrome","authors":"Seyed Mohammad Sadegh Ghadiri Asli, Ameneh khalilzadeh Sabetmasouleh, N. Akhoundi, Alireza Siami","doi":"10.1177/87564793231187323","DOIUrl":"https://doi.org/10.1177/87564793231187323","url":null,"abstract":"Objective: The study was conducted to determine the value of various lung ultrasonography (LUS) findings in diagnosing neonatal respiratory distress syndrome (RDS) and to assess the ability of ultrasonography to predict the need for surfactant treatment. Materials and Methods: This cohort study was conducted on 164 neonates with RDS with a gestational age of over 28 weeks. Transthoracic sonography was performed in all patients in the infant isolet immediately after admission and stabilization of the infant and during the first 6 hours before surfactant treatment. Immediately after the sonogram, the neonates underwent an anterior–posterior view chest radiograph, before and after surfactant treatment. Results: In comparison with clinical manifestations and radiographic findings as the references, the sensitivity and specificity of each of the LUS-related parameters for detecting RDS were as follows: Faded A-lines (95.4% and 76.7%), abnormal B-lines (91.7% and 71.6%), the presence of consolidation (90.9% and 88.3%), the presence of pleural effusion (95% and 86.7%), and alveolar–interstitial syndrome (AIS) (98% and 96%). Conclusion: LUS findings were valuable in assessing and grading the severity of neonatal RDS alongside clinical evaluation. LUS may assist in selecting infants for surfactant therapy and monitoring treatment response.","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":"11 1","pages":"590 - 598"},"PeriodicalIF":0.3,"publicationDate":"2023-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84252791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-27DOI: 10.1177/87564793231182418
Douglas W. Clem
{"title":"How to Prepare for Your Upcoming Accreditation Site Visit With Ease","authors":"Douglas W. Clem","doi":"10.1177/87564793231182418","DOIUrl":"https://doi.org/10.1177/87564793231182418","url":null,"abstract":"","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":"23 1","pages":"427 - 429"},"PeriodicalIF":0.3,"publicationDate":"2023-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82388911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-22DOI: 10.1177/87564793231187317
Issac Cheong, F. Tamagnone
Hemopneumothorax is a rare but serious complication that can occur in patients with central venous catheters, trauma, or underlying lung disease. It involves the accumulation of blood and air in the pleural cavity, which can cause hypovolemic shock if left untreated. Lung sonography is a noninvasive, nonionizing radiation imaging technique, and easily accessible diagnostic tool that can be performed at the bedside in critically ill patients, for the diagnosis of hemopneumothorax. A case is reported of a 60-year-old female with a medical history of leukemia who developed hypovolemic shock due to right hemothorax caused by a perforation of the superior vena cava by a central venous catheter. The patient underwent emergency surgery and her condition improved, but later presented with symptoms of hemopneumothorax, which was diagnosed using lung sonography. Emergency placement of a pleural drainage tube was performed, but unfortunately, the patient’s condition deteriorated, and she received end-of-life care. Prompt diagnosis and management of hemopneumothorax are essential to prevent life-threatening complications, and lung sonography is a valuable diagnostic tool, in the diagnosis of critically ill patients.
{"title":"Detecting Hemopneumothorax With Lung Sonography: A Case Report","authors":"Issac Cheong, F. Tamagnone","doi":"10.1177/87564793231187317","DOIUrl":"https://doi.org/10.1177/87564793231187317","url":null,"abstract":"Hemopneumothorax is a rare but serious complication that can occur in patients with central venous catheters, trauma, or underlying lung disease. It involves the accumulation of blood and air in the pleural cavity, which can cause hypovolemic shock if left untreated. Lung sonography is a noninvasive, nonionizing radiation imaging technique, and easily accessible diagnostic tool that can be performed at the bedside in critically ill patients, for the diagnosis of hemopneumothorax. A case is reported of a 60-year-old female with a medical history of leukemia who developed hypovolemic shock due to right hemothorax caused by a perforation of the superior vena cava by a central venous catheter. The patient underwent emergency surgery and her condition improved, but later presented with symptoms of hemopneumothorax, which was diagnosed using lung sonography. Emergency placement of a pleural drainage tube was performed, but unfortunately, the patient’s condition deteriorated, and she received end-of-life care. Prompt diagnosis and management of hemopneumothorax are essential to prevent life-threatening complications, and lung sonography is a valuable diagnostic tool, in the diagnosis of critically ill patients.","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":"95 1","pages":"616 - 619"},"PeriodicalIF":0.3,"publicationDate":"2023-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75378496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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