Multiple visceral infarcts secondary to splanchnic vasospasm in a patient with severe hypotension

Case contributed by Avni K P Skandhan
Diagnosis almost certain


Fever, tiredness with a severe metabolic and lactic acidosis. There was an episode of marked hypotension.

Patient Data

Age: 60 years
Gender: Male

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. 

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