CT evaluation of shock viscera: A pictorial review

被引：32
作者：
Lubner M. [1 ]
Demertzis J. [1 ]
Lee J.Y. [2 ]
Appleton C.M. [1 ]
Bhalla S. [1 ]
Menias C.O. [1 ]
机构：
[1] Mallinckrodt Institute of Radiology, St. Louis, MO 63110, P.O. Box 8131
[2] Southern California Permanente Medical Group, Los Angeles, CA
来源：
Emergency Radiology | 2008年 / 15卷 / 1期
关键词：
Abdomen; CT; Shock; Trauma; Viscera;
D O I：
10.1007/s10140-007-0676-z
中图分类号：
学科分类号：
摘要：
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. © 2007 Am Soc Emergency Radiol.
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页码：1 / 11
页数：10
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