Sample Case 1

June 3, 2015

Case Presentation

A 48-year-old male presents for evaluation.  He has fever and abdominal pain.  His past medical history is significant for a history of metastatic colon cancer, multiple abdominal surgeries and 2 prior episodes of spontaneous bacterial peritonitis (SBP).  His vital signs are: BP 108/72, P 128, R 26, T 39.1.  The clinician caring for the patient is concerned about SBP and paracentesis is planned…

Case Videos

Video 1

Case Video 1



Case Video 2

Case Video 2


  1.  What are all the sonographic findings that were visualized on the abdominal ultrasound?
    • Ascites
    • Bowel loops with increased peristalsis
    • Distended urinary bladder
    • Pneumoperitoneum
    • Small bowel obstruction
  2. Based on the ultrasound findings, what is the most likely diagnosis?
    • Bladder outlet obstruction
    • Secondary bacterial peritonitis
    • Small bowel obstruction
    • Spontaneous bacterial peritonitis

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