Question 1240
{"accessible":false,"alternatives":[{"id":6216,"text":"flattened inferior vena cava"},{"id":6218,"text":"hypoenhancing adrenal glands"},{"id":6217,"text":"low density halo around the inferior vena cava"},{"id":6215,"text":"reduced calibre abdominal aorta"},{"id":6219,"text":"thickened small bowel loops"}],"archived":false,"correctAlternativeId":6218,"explanation":"\u003cp\u003eNon-occlusive mesenteric ischaemia is also known as 'shock bowel' or 'CT hypoperfusion complex', and\u0026nbsp;refers to the predominantly abdominal imaging features that occur in the context of profound hypotension. Multiple abdominal organs can display atypical appearances not related to the initial trauma but reflect alterations in perfusion secondary to hypovolaemia which affects the sympathetic splanchnic simulation. The small bowel is affected more than the large bowel, and is usually thickened, with a flattened IVC and reduced calibre aorta. The adrenal glands are usually hyperenhancing,\u003c/p\u003e","id":1240,"imageUrl":null,"imageAttribution":null,"imageAttributionCaseInfo":null,"firstQuestionPath":"/questions/1240","nextQuestionPath":"/articles/ct-hypoperfusion-complex/questions/241","relatedArticles":[],"alsoUsedIn":[{"id":166,"kind":"Course","title":"Imaging of Bowel Ischaemia","link":"https://radiopaedia.org/courses/imaging-of-bowel-ischaemia"},{"id":623,"kind":"Course","title":"Lectures by Vikas Shah - page 623","link":"https://radiopaedia.org/courses/lectures-by-vikas-shah/pages/623"},{"id":623,"kind":"Course","title":"Radiopaedia 2020 - Lectures Only - page 623","link":"https://radiopaedia.org/courses/radiopaedia-2020-exclusive/pages/623"},{"id":623,"kind":"Course","title":"2020 Virtual Conference Private Use - page 623","link":"https://radiopaedia.org/courses/2020-virtual-conference-private-use/pages/623"},{"id":685,"kind":"Course","title":"Abdominal Emergency Radiology Course - page 685","link":"https://radiopaedia.org/courses/abdominal-emergency-radiology-course-online/pages/685"},{"id":685,"kind":"Course","title":"2020 Virtual Conference Private Use - page 685","link":"https://radiopaedia.org/courses/2020-virtual-conference-private-use/pages/685"}],"stem":"\u003cp\u003eWhich of the following is \u003cstrong\u003eLEAST\u003c/strong\u003e typical of non-occlusive mesenteric ischaemia associated with hypoperfusion?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/1240"}],"attemptsPercentages":[{"alternativeId":"6219","percentage":16},{"alternativeId":"6217","percentage":21},{"alternativeId":"6218","percentage":39},{"alternativeId":"6216","percentage":6},{"alternativeId":"6215","percentage":18}],"promptToLogin":false,"questionManager":false,"articleId":"ct-hypoperfusion-complex"}