Key result
Point-of-care ultrasound revealed viscous perforation and free fluid in a 3-year-old boy presenting with an acute abdomen and undifferentiated shock caused by a single magnet.
Point-of-care ultrasound is useful for rapidly diagnosing viscous perforation in pediatric patients presenting with undifferentiated shock and acute abdomen.
Supports POCUS in rare pediatric acute abdomen cases; leaves open generalizability before practice change.
We report the case of a 3-year-old boy who presented to the pediatric emergency department in undifferentiated shock with an acute abdomen. Point-of-care ultrasound revealed viscous perforation with a large amount of free fluid. Intraoperatively, a single magnet was discovered as the likely cause of bowel perforation and the resulting state of shock.
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Malik et al. (2021) studied this question. Point-of-care ultrasound revealed viscous perforation and free fluid in a 3-year-old boy presenting with an acute abdomen and undifferentiated shock caused by a single magnet.
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