Affiliation
Department of Radiology, Cork University Hospital, Wilton, Cork, Ireland., ailbhetarrant@hotmail.comIssue Date
2012-02-03T15:16:07ZMeSH
Abdominal Injuries/complications/*radiographyAdult
Aorta, Abdominal/radiography
Female
Humans
Hypovolemia/etiology/*radiography
Male
Middle Aged
*Radiography, Abdominal
Shock/etiology/*radiography
Tomography, X-Ray Computed
Vena Cava, Inferior/radiography
Viscera/radiography
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Br J Radiol. 2008 Mar;81(963):252-7. Epub 2008 Jan 7.Journal
The British journal of radiologyDOI
10.1259/bjr/40962054PubMed ID
18180262Abstract
Hypovolaemic shock is an infrequently encountered entity found on CT of victims of severe trauma. Early abdominal and pelvic CT can show diffuse abnormalities owing to hypovolaemia that may alert radiologists to the presence of hypovolaemic shock. In this pictorial review, we present the imaging findings of hypovolaemic shock, as seen on CT of the abdomen. A spectrum of vascular and visceral CT signs is described. Vascular signs include diminished inferior vena cava diameter, diminished aortic diameter and abnormal vascular enhancement. Hollow visceral abnormalities include diffuse increased mucosal enhancement of both the small and large bowel, diffuse thickening of the small bowel wall, and small bowel dilatation. Solid visceral abnormalities include both decreased and increased end organ enhancement. This report should increase radiologists' awareness of the CT manifestations of hypovolaemic shock.Language
engISSN
1748-880X (Electronic)0007-1285 (Linking)
ae974a485f413a2113503eed53cd6c53
10.1259/bjr/40962054
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