title: Utilization of bedside urogenital ultrasound in an austere combat setting: enterovesicular fistula case report.
abstract: The role of bedside ultrasound by physicians with advanced ultrasound training, such as emergency medicine providers, has been clearly established in the austere setting of combat medicine. This highly mobile, noninvasive, and versatile imaging modality has a role in evaluating battle- and nonbattle-related presentations. This case report describes a U.S. Marine reporting to an austere medical facility with the chief complaint of abdominal pain. An ultrasound of the patient's urinary tract revealed abnormalities that suggested right bladder wall thickening and an echo dense layer of sediment as the potential source of his discomfort. These findings supported patient transfer to a higher echelon of care. Further diagnostic testing revealed Crohn's disease with an associated enterovesicular fistula.
authors.affiliation: Department of Emergency Medicine, Naval Medical Center San Diego, 34800 Bob Wilson Drive, San Diego, CA 92134. USA.
authors.forename: Nicole
authors.initials: N
authors.lastname: Lunceford
authors.forename: Robert J
authors.initials: RJ
authors.lastname: Scherl
authors.forename: Jonathan
authors.initials: J
authors.lastname: Elliot
authors.forename: Brett F
authors.initials: BF
authors.lastname: Bechtel
authors.forename: Jonathan
authors.initials: J
authors.lastname: Auten
mesh_terms: D000328:Adult; D003106:Colon / Q000000981:diagnostic imaging*; D003113:Colonoscopy; D003424:Crohn Disease / Q000150:complications* / Q000175:diagnosis; D003937:Diagnosis, Differential; D006801:Humans; D007412:Intestinal Fistula / Q000000981:diagnostic imaging* / Q000209:etiology; D008297:Male; D019095:Point-of-Care Systems / Q000706:statistics & numerical data*; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography; D001743:Urinary Bladder / Q000000981:diagnostic imaging*; D014548:Urinary Fistula / Q000000981:diagnostic imaging* / Q000209:etiology