EURORAD ESR

Case 13479

CT findings in a typical hypovolaemic shock

Author(s)
Lígia Barbosa Torres1; Sofia Dutra2; Ana Cardoso1

(1) Centro Hospitalar Lisboa Central,
Hospital de Santo António dos Capuchos,
Radiologia;
Alameda Santo Antonio dos Capuchos
1169-050 Lisbon, Portugal;
Email:daniel.ligia.bt@gmail.com
(2) Hospital do Divino Espírito Santo de Ponta Delgada;
Rua Grotinha 9500-370,
Ponta Delgada, Açores;
Email: sofiardutra@hotmail.com
 
Patient
female, 72 year(s)
 
 
  • Figure 1
    Axial and coronal Computed Tomography

    Axial non-contrast (A) and coronal (B) reformation after administration of IV contrast demonstrate well-defined peripheral areas of liver parenchyma's unenhancement at segments II (red), VIII (blue), VIII / V (green)...

     
    Area of Interest: Liver; Imaging Technique: CT; Procedure: Computer Applications-Detection, diagnosis; Special Focus: Ischaemia / Infarction;
     
     
  • Figure 2
    Axial and coronal Computed Tomography

    Axial (A) and coronal (B) CT reformations after IV iodinated contrast administration reveal an increased enhancement of both adrenal glands after intravenous contrast administration (arrows).

     
    Area of Interest: Adrenals; Imaging Technique: CT; Procedure: Computer Applications-Detection, diagnosis; Special Focus: Haemodynamics / Flow dynamics;
     
     
  • Figure 3
    Axial Computed Tomography

    Axial CT reformations before (A) and after (B) IV iodinated contrast administration depicting an increased enhancement of renal parenchyma (arrows).

     
    Area of Interest: Kidney; Imaging Technique: CT; Procedure: Computer Applications-Detection, diagnosis; Special Focus: Haemodynamics / Flow dynamics;
     
     
  • Figure 4
    Axial Computed Tomography

    Axial CT acquisitions after contrast administration demonstrating a flattening of the inferior vena cava that has a caliber of only 4 mm at the renal arteries level (A) and 3 mm measured 2 cm below them (B).

     
    Area of Interest: Veins / Vena cava; Imaging Technique: CT; Procedure: Computer Applications-Detection, diagnosis; Special Focus: Haemodynamics / Flow dynamics;
     
     
  • Figure 5
    Coronal Computed Tomography

    Coronal reformations in the arterial phase shows retrograde opacification of the hepatic veins and of the vena cava axis (red arrows). Loculated ascites (blue arrow).

     
    Area of Interest: Veins / Vena cava; Imaging Technique: CT; Procedure: Computer Applications-Detection, diagnosis; Special Focus: Haematologic diseases;
     
     
  • Figure 6
    Axial Computed Tomography

    Axial CT acquisition after IV contrast administration depicts the presence of gaseous bubbles in the intrahepatic bile ducts due to aerobilia (arrows).

     
    Area of Interest: Biliary Tract / Gallbladder; Imaging Technique: CT; Procedure: Computer Applications-Detection, diagnosis; Special Focus: Acute;
     
     
  • Figure 7
    Axial and coronal Computed Tomography

    (A) Axial CT acquisition and (B) coronal reformation after IV iodinated contrast administration show the presence of luminal gas in the sigmoid, ascending and transverse colon causing bowel distention (arrows).

     
    Area of Interest: Colon; Imaging Technique: CT; Procedure: Computer Applications-Detection, diagnosis; Special Focus: Dilatation;
     
     
Axial non-contrast (A) and coronal (B) reformation after administration of IV contrast demonstrate well-defined peripheral areas of liver parenchyma's unenhancement at segments II (red), VIII (blue), VIII / V (green) and VI (yellow).
 
Axial (A) and coronal (B) CT reformations after IV iodinated contrast administration reveal an increased enhancement of both adrenal glands after intravenous contrast administration (arrows).
 
Axial CT reformations before (A) and after (B) IV iodinated contrast administration depicting an increased enhancement of renal parenchyma (arrows).
 
Axial CT acquisitions after contrast administration demonstrating a flattening of the inferior vena cava that has a caliber of only 4 mm at the renal arteries level (A) and 3 mm measured 2 cm below them (B).
 
Coronal reformations in the arterial phase shows retrograde opacification of the hepatic veins and of the vena cava axis (red arrows). Loculated ascites (blue arrow).
 
Axial CT acquisition after IV contrast administration depicts the presence of gaseous bubbles in the intrahepatic bile ducts due to aerobilia (arrows).
 
(A) Axial CT acquisition and (B) coronal reformation after IV iodinated contrast administration show the presence of luminal gas in the sigmoid, ascending and transverse colon causing bowel distention (arrows).
 
 
 
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