Shock bowel

Case contributed by RMH Core Conditions

Presentation

Cyclist vs. car.

Patient Data

Age: 19
Gender: Male

Abdomen/Pelvis

Modality: CT

There is a small amount of fluid/blood within the retroperitoneum and anterior pararenal space. No visceral organ injury is identified, in particular, no pancreatic abnormality seen. Mild periportal oedema.

Diffuse enteric mucosal hyperenhancement. No free intraperitoneal fluid.

No pelvic or proximal femoral fracture. Both hips joints are enlocated. Nasogastric tube in situ.

Extensive bilateral pulmonary consolidation; possibilities include aspiration and oedema.

Case Discussion

Shock bowel in a traumatic setting is seen in the context of hypovolaemic (haemorrhagic) shock although there are other causes (e.g. sepsis). 

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Case Information

rID: 26304
Case created: 11th Dec 2013
Last edited: 9th Sep 2015
Inclusion in quiz mode: Included

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