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

Diagnosis almost certain

Citation, DOI, disclosures and case data

Citation:

Skandhan A, Multiple visceral infarcts secondary to splanchnic vasospasm in a patient with severe hypotension. Case study, Radiopaedia.org (Accessed on 21 Mar 2023) https://doi.org/10.53347/rID-61686

DOI:

https://doi.org/10.53347/rID-61686

Permalink:

https://radiopaedia.org/cases/61686

rID:

61686

Disclosures:

At the time the case was submitted for publication Avni K P Skandhan had no recorded disclosures.

View Avni K P Skandhan's current disclosures

Case published:

14 Jul 2018

Revisions:

2 times, by 2 contributors - see full revision history and disclosures

Systems:

Vascular

Quiz mode:

Included

Presentation

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

Patient Data

Age: 60 years

Gender: Male

From the case: Multiple visceral infarcts secondary to splanchnic vasospasm in a patient with severe hypotension

Axial C+ portal venous phase

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.