CT hypoperfusion complex

Case contributed by Dr Henry Knipe


Cardiac arrest. 30 minutes CPR.

Patient Data

Age: 70 years
Gender: Male

Extensive pneumatosis affecting small and large bowel wall with a large volume of portal venous gas. Poor bowel wall enhancement throughout. Intraperitoneal free gas and small volume of free fluid. 

Hyperattenuating adrenal glands. Striated nephrograms. Differential attenuation within the liver. Slit-like IVC. SMA is patent with no significant ostial atherosclerosis. 

Case Discussion

CT hypoperfusion complex refers to the feature on CT of profound hypotension including as seen in this case:

There are other features also described, please see the article. Ischemic gut is not part of the description but can also occur concurrently as a cause or, as in this case, as a result of severe hypotension. 

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Case information

rID: 47509
Published: 19th Aug 2016
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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