Shock bowel

Case contributed by RMH Core Conditions

Presentation

Cyclist vs. car.

Patient Data

Age: 19
Gender: Male

Abdomen/Pelvis

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 edema.

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 edema.

Case Discussion

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

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