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01-01-2008 | Pictorial Essay

CT evaluation of shock viscera: a pictorial review

Authors: M. Lubner, J. Demertzis, J. Y. Lee, C. M. Appleton, S. Bhalla, C. O. Menias

Published in: Emergency Radiology | Issue 1/2008

Abstract

The purpose of this article is to review both the pathophysiology and the computed tomography features of the hypoperfusion complex and shock viscera. The main findings include dilated fluid-filled loops of bowel with hyperenhancing mucosa, intensely enhancing kidneys and mesenteric vasculature, and small caliber, dense aorta and collapsed, slit-like inferior vena cava. Variable features include increased enhancement of the adrenals, decreased enhancement of the spleen, and altered enhancement of the pancreas with both hypo- and hyperenhancement described. This complex of findings indicates a tenuous hemodynamic status and has been associated with a poor prognosis. In addition, it is important to discern this collection of findings from direct injury to the viscera to aid in appropriate triage and management of the patients’ injuries.

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Title: CT evaluation of shock viscera: a pictorial review
Authors: M. Lubner
J. Demertzis
J. Y. Lee
C. M. Appleton
S. Bhalla
C. O. Menias
Publication date: 01-01-2008
Publisher: Springer-Verlag
Published in: Emergency Radiology / Issue 1/2008
Print ISSN: 1070-3004
Electronic ISSN: 1438-1435
DOI: https://doi.org/10.1007/s10140-007-0676-z

At a glance: The STEP trials

Springer Medicine

CT evaluation of shock viscera: a pictorial review

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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