EPSS: One name, Two meanings.

You might have heard of EPSS, or E Point Septal Separation, in echocardiography. What about EPSS in abdominal sonography ?


A middle age man presented to our A&E with 2 days of abdominal pain. Clinically, it was an acute abdomen, with guarding and rigidity.


What could be the cause?


A bedside FAST shows this:


Free fluid is seen in the right paracolic gutter (blue arrow), not in the morrison’s pouch. Not good news for the patient.

A close up of the ventral aspect of the liver using a high frequency linear probe showed this:

Did you see the EPSS which explains the patient’s clinical findings?

#Q #EPSS

Featured Posts
Recent Posts
Posts Are Coming Soon
Stay tuned...
Search By Tags
No tags yet.

© AACES

ALEXANDRA ACADEMY FOR CLINICAL AND EMERGENCY SONOGRAPHY