Surprising Stones in a Child With Abdominal Pain: A POCUS Case Report

Abdominal pain is a common presenting complaint in the pediatric emergency department. Here, we present a three‐year‐old boy with acute on chronic abdominal pain found on point of care ultrasound (POCUS) to have cholelithiasis in a choledochal cyst on POCUS. This is the first case of a choledochal cyst on POCUS in the medical literature, and led to early and definitive treatment. This case highlights the potential utility of POCUS as a diagnostic tool in all cases of pediatric abdominal pain, emphasizing its role in early detection and intervention.