Multiple visceral infarcts secondary to splanchnic vasospasm in a patient with severe hypotension
Diagnosis almost certain
Presentation
Fever, tiredness with a severe metabolic and lactic acidosis. There was an episode of marked hypotension.
Patient Data
Age: 60 years
Gender: Male
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There is evidence of diffuse hepatic and splenic hypoperfusion, multiple bilateral renal infarcts, bowel hypoperfusion and mild to moderate ascites; which with an underlying history of an episode of hypotension warranting resuscitation and ventilation, and further clinical deterioration, these imaging features would favor significant hypotension, associated secondary vasospasm, with sequelae of end-organ ischemic injury.