Shock bowel and liver laceration

Case contributed by RMH Core Conditions

Presentation

Roll-over motor vehicle collision.

Patient Data

Age: 41
Gender: Female
Modality: CT

In the liver, segment VIII irregular low density area measuring 4.5 x 4.0 x 2.9 cm in keeping with liver laceration (grade III). Moderate perihepatic free fluid in keeping with blood.

No splenic laceration. Minor perisplenic blood.

Subtle wedge-shaped perfusion defect in the right renal upper pole, consistent with segmental renal artery dissection.

Loops of thickened hyperaemic small bowel, most likely secondary to "shock bowel" (due to hypovolaemia).

Distended bladder. Moderate free pelvic and paracolic gutter fluid.

Case Discussion

Shock bowel is part of the CT hypoperfusion complex. Multiple abdominal organs can be affected by shock, including the adrenal glands, liver, spleen, and possibly the pancreas.

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Case Information

rID: 33576
Case created: 16th Jan 2015
Last edited: 10th Sep 2015
Tag: trauma
Inclusion in quiz mode: Included

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