Presentation
Cardiac arrest. 30 minutes CPR.
Patient Data
Age: 70 years
Gender: Male
From the case:
CT hypoperfusion complex
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/52118/annotated_viewer_json?lang=us"}
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:
- slit-like IVC
- hyperattenuating adrenal glands
- striated nephrograms
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.
Unable to process the form. Check for errors and try again.