Visceral and Vascular Imaging Findings of Hypovolemic Shock in Contrast-enhanced Computed Tomography: A Case Report
Correspondence Address :
Vaishali Bodhraj Dhawan,
Professor, Department of Radiodiagnosis, Jawaharlal Nehru Medical College, Sawangi (Meghe), Wardha-442107, Maharashtra, India.
E-mail: vaishalibdhawan@rediffmail.com
Shock, a medical emergency condition secondary to an underlying cause, requires urgent diagnosis for timely management. Imaging can play an important role in this process. Certain identifiable features on Contrast-enhanced Computed Tomography (CECT) may alert radiologists to the presence of Hypovolemic Shock (HS). A spectrum of visceral and vascular CT signs has been documented to represent the underlying shock condition. Authors, hereby present a case of 78-year-old male patient, depicting visceral and vascular imaging findings of HS, as observed on a CECT of the abdomen and pelvis. The visceral findings included hypoenhancement of the liver and spleen, heterogenous hyperenhancement of the kidneys and adrenal glands and abnormal dilation of small bowel loops. The vascular findings were characterised by the flattening of the Inferior Vena Cava (IVC). The present case report was aimed to help radiologists increase their awareness of the CT signs of HS and assist physicians in taking early measures for adequate management.
Distended abdomen, Flattened inferior vena cava, Hypoperfusion complex, Hypovolemia
DOI: 10.7860/JCDR/2025/74637.20430
Date of Submission: Jul 31, 2024
Date of Peer Review: Sep 24, 2024
Date of Acceptance: Oct 08, 2024
Date of Publishing: Dec 01, 2025
AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was informed consent obtained from the subjects involved in the study? Yes
• For any images presented appropriate consent has been obtained from the subjects. Yes
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ETYMOLOGY: Author Origin
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