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Pediatric emergency care · Jun 2015
Case ReportsFalse-positive focused abdominal sonography in trauma in a hypotensive child: case report.
- Isabelle Imamedjian, Robert Baird, and Alexander Sasha Dubrovsky.
- From the *Faculty of Medicine, McGill University; and †Departments of Pediatric Surgery and ‡Pediatric Emergency Medicine, Montreal Children's Hospital-McGill University Health Center, Montreal, Quebec, Canada.
- Pediatr Emerg Care. 2015 Jun 1;31(6):451-3.
AbstractWe report a case of a false-positive focused abdominal sonography in trauma (FAST) examination in a persistently hypotensive pediatric trauma patient, performed 12 hours after the trauma, suspected to be caused by massive fluid resuscitation leading to ascites. While a positive FAST in a hypotensive trauma patient usually indicates hemoperitoneum, this case illustrates that the timing of the FAST examination relative to the injury, as well as clinical evolution including the volume of fluid resuscitation, need to be considered when interpreting the results of serial and/or late FAST examinations.
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