EURORAD ESR

Case 11263

An unusual cause of septic shock in metastatic rectal cancer

Author(s)
Ana Luiza R M Freitas, Saulo C Carvalho, Renata de O e S Brenner, Marcio R T Garcia.

Instituto do Câncer do Estado de São Paulo
ICESP, Departamento de radiologia da
Faculdade de Medicina da Universidade de São Paulo.
 
Patient
female, 49 year(s)
 
 
  • Figure 1
    Liver metastasis from rectal neuroendocrine carcinoma (right lobe).
     

    Axial T2-weighted MR

     
    Area of Interest: Gastrointestinal tract; Liver; Imaging Technique: MR; Procedure: Radiation therapy / Oncology; Special Focus: Metastases;

    Diffusion-weighted MR

     
    Area of Interest: Abdomen; Gastrointestinal tract; Liver; Imaging Technique: MR; MR-Diffusion/Perfusion; Procedure: Radiation therapy / Oncology; Special Focus: Metastases;

    Axial non-enhanced CT

     
    Area of Interest: Abdomen; Gastrointestinal tract; Liver; Imaging Technique: CT; Procedure: Radiation therapy / Oncology; Special Focus: Metastases;
     
     
  • Figure 2
    Imaging at admission on emergency room (septic shock).
     

    Chest radiograph

     
    Area of Interest: Liver; Imaging Technique: Plain radiographic studies; Procedure: Radiation therapy / Oncology; Special Focus: Infection;

    Axial non-enhanced CT

     
    Area of Interest: Abdomen; Liver; Imaging Technique: CT; Procedure: Radiation therapy / Oncology; Special Focus: Infection; Metastases;

    Coronal MPR

     
    Area of Interest: Abdomen; Liver; Imaging Technique: CT; Procedure: Radiation therapy / Oncology; Special Focus: Infection; Metastases;
     
     
  • Figure 3
    Pneumoperitoneum.
     

    Axial non-enhanced CT (lung window)

     
    Area of Interest: Abdomen; Liver; Imaging Technique: CT; Procedure: Radiation therapy / Oncology; Special Focus: Infection; Metastases;

    Axial non-enhanced CT (lung window)

     
    Area of Interest: Abdomen; Liver; Imaging Technique: CT; Procedure: Radiation therapy / Oncology; Special Focus: Infection; Metastases;

    Sagittal projection (MPR)

     
    Area of Interest: Abdomen; Liver; Imaging Technique: CT; Procedure: Radiation therapy / Oncology; Special Focus: Infection; Metastases;
     
     
Axial T2-weighted MR
 
Diffusion-weighted MR
 
Axial non-enhanced CT
 
Chest radiograph
 
Axial non-enhanced CT
 
Coronal MPR
 
Axial non-enhanced CT (lung window)
 
Axial non-enhanced CT (lung window)
 
Sagittal projection (MPR)
 
 
 
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