Page 120 - JSOM Winter 2019

An Ongoing Series

Could He Stay or Should He Go Now?

1
Katarzyna (Kasia) Hampton, MD *; Livia Van Humbeeck, MS-1 2

fter the sudden onset of severe right upper quadrant 2. Does your patient require evacuation?
pain radiating to the scrotum, your teammate comes
Aasking for help. He is unable to find a comfortable Join us at SOFsono.org for further case discussion.
position, but his examination is otherwise unremarkable.
He reports having felt completely fine until the moment pain
started.
Keywords: urinary bladder; pain, RUQ; scrotum
1. Are you able to make an accurate diagnosis based solely on
history, examination, and the ultrasound findings shown in
Figure 1?

FIGURE 1 Sagittal view of the urinary bladder.

*Correspondence to sofsono.org@gmail.com
1 Dr Hampton is an emergency physician at the US Army Landstuhl Regional Medical Center, Germany, and an expert ultrasound instructor for
the military medical community. Ms Van Humbeeck is a medical student at the Jagiellonian University in Cracow, Poland.
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