Document Type : Case Report

Authors

1 Local Health Unit of Algarve, Basic Emergency Service of Vila Real de Santo António School of Health at the University of Algarve, Medical Imaging, and Radiotherapy

2 Local Health Unit of Algarve, Levante Family Health Unit, University of Algarve Faculty of Medicine, and Biomedical Sciences

3 School of Health at the University of Algarve, Medical Imaging, and Radiotherapy.

4 Local Health Unit of Northeast, Polytechnic University of Castelo Branco, Dr. Lopes Dias School of Health, Medical Imaging, and Radiotherapy.

5 Associate Professor at the School of Health at the University of Algarve, Medical Imaging, and Radiotherapy Department, Center for Health Studies (CES-ESSUALG), University of Algarve, and CHRC (Comprehensive Health Research Center).

Abstract

Abstract
Objective: Bladder diverticula, while not exceptionally rare in clinical practice, present significant diagnostic challenge, particularly in remote pre-hospital emergencies where technological limitations and the absence of specialized medical expertise prevail. This report aims to emphasize the role of screening ultrasound in the pre-hospital setting,
Case Presentation: A patient experiencing severe lower abdominal pain presented at a Basic Emergency Service for the third time presenting same symptoms. A renal and pelvic ultrasound screening was performed, revealing suspected images traducing bladder distention and adjacent fluid-filled cavities, consistent with multiple bladder diverticula. Subsequently, the patient was referred to referral central hospital for management by medical experts and execute comprehensive evaluation which confirmed the findings of the Basic Emergency Service.
Conclusion: results of the screening ultrasound enabled the Basic Emergency Service team to initiate clinical interventions to mitigate the patient's discomfort. Screening ultrasound was crucial in identifying imaging markers that provided the doctor with clinical data for correct and prompt patient orientation.

Keywords

Main Subjects