Systemic Hypotension



Systemic Hypotension


Michael P. Federle, MD, FACR





Key Facts


Imaging



  • Imaging findings related to shock or ↓ blood pressure


  • “Shock” bowel



    • Intense enhancement of normal bowel mucosa, highlighted by submucosal and mesenteric edema


  • “Shock” pancreas



    • Gland is intact (no fracture plane)


    • Peripancreatic fat spaces infiltrated by edema


  • Adrenal and renal enhancement



    • Often show intense and prolonged enhancement


  • “Collapsed cava” sign



    • IVC and renal veins appear flattened


    • Sign of hypovolemia usually


  • Spleen and liver



    • May be hypoperfused → hypoenhanced on CECT


  • Small aorta



    • May also be sign of severe hypovolemia


Top Differential Diagnoses



  • Visceral trauma



    • Mesentery and small bowel


    • Pancreas


    • Spleen

Tags:
Jun 8, 2016 | Posted by in GENERAL RADIOLOGY | Comments Off on Systemic Hypotension

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