Multiorgan trauma with CT features of hypotension


Injuries sustained: 

  1. Extensive liver and splenic lacerations with evidence of active contrast extravasation from the splenic bed. Likely right adrenal hematoma. 
  2. Possible duodenal and pancreatic injuries. 
  3. L1-L4 right transverse process fractures.

Evidence of CT hypoperfusion complex (more commonly known as shock bowel) with flattened IVC and small caliber abdominal aorta.