Hypoperfusion complex

Case contributed by Liz Silverstone
Diagnosis almost certain

Presentation

Severe hepatorenal failure following cardiac arrest. INR 6.

Patient Data

Age: 55 years
Gender: Male
ct

Dilated heart chambers.

Case Discussion

Alcoholic cirrhosis and dilated cardiomyopathy complicated by myocardial infarction and cardiac arrest. Following resuscitation CT shows LV thrombus, full systemic veins and splanchnic venous thrombosis as well as features of hypoperfusion complex: small arteries and abnormal perfusion of the bowel, adrenal glands and pancreas.

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