False-Positive Focused Abdominal Sonography in Trauma in a Hypotensive Child: Case Report. Issue 6 (June 2015)

• Record Type: Journal Article
• Authors: Imamedjian, Isabelle; Baird, Robert; Dubrovsky, Alexander Sasha
• Other Names: Marin Jennifer R. section editor.
• Is Part Of: Pediatric emergency care. Volume 31:Issue 6(2015)
• Publication Date: 2015-06
• Subjects: FAST -- blunt abdominal trauma -- resuscitation -- abdominal compartment syndrome; Pediatric emergencies -- Periodicals; 618.92002505
• DOI: 10.1097/PEC.0000000000000465
• Languages: English
• ISSNs: 0749-5161

Abstract

Abstract : Abstract: We 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.