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CT evaluation of shock viscera: a pictorial review

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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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Authors and Affiliations

  1. Mallinckrodt Institute of Radiology, P.O. Box 8131, 510 South Kingshighway, St. Louis, MO, 63110, USA

    M. Lubner, J. Demertzis, C. M. Appleton, S. Bhalla & C. O. Menias

  2. Southern California Permanente Medical Group, Los Angeles, CA, USA

    J. Y. Lee

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  1. M. Lubner
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  2. J. Demertzis
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  3. J. Y. Lee
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  4. C. M. Appleton
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Correspondence to M. Lubner.

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Lubner, M., Demertzis, J., Lee, J.Y. et al. CT evaluation of shock viscera: a pictorial review. Emerg Radiol 15, 1–11 (2008). https://doi.org/10.1007/s10140-007-0676-z

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  • DOI: https://doi.org/10.1007/s10140-007-0676-z

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