Visceral and Vascular Imaging Findings of Hypovolemic Shock in Contrast-enhanced Computed Tomography: A Case Report

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 Hypovole...

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Main Authors: Vaishali Bodhraj Dhawan, Rakshanda Pravin Agrawal, Gahana Kataria
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2025-01-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://www.jcdr.net/articles/PDF/20430/74637_CE[Ra1]_F(SHU)_QC(PS_IS)_PF1(JY_OM)_PFA_NC(SS)_PN(IS).pdf
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author Vaishali Bodhraj Dhawan
Rakshanda Pravin Agrawal
Gahana Kataria
author_facet Vaishali Bodhraj Dhawan
Rakshanda Pravin Agrawal
Gahana Kataria
author_sort Vaishali Bodhraj Dhawan
collection DOAJ
description 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.
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institution Kabale University
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0973-709X
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spelling doaj-art-c9c583b2b1734a45b857af51aee783a52025-01-07T12:03:19ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2025-01-011901040610.7860/JCDR/2025/74637.20430Visceral and Vascular Imaging Findings of Hypovolemic Shock in Contrast-enhanced Computed Tomography: A Case ReportVaishali Bodhraj Dhawan0Rakshanda Pravin Agrawal1Gahana Kataria2Professor, Department of Radiodiagnosis, Jawaharlal Nehru Medical College, Sawangi (Meghe), Wardha, Maharashtra, India.Junior Resident, Department of Radiodiagnosis, Jawaharlal Nehru Medical College, Sawangi (Meghe), Wardha, Maharashtra, India.Junior Resident, Department of Radiodiagnosis, Jawaharlal Nehru Medical College, Sawangi (Meghe), Wardha, Maharashtra, India.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.https://www.jcdr.net/articles/PDF/20430/74637_CE[Ra1]_F(SHU)_QC(PS_IS)_PF1(JY_OM)_PFA_NC(SS)_PN(IS).pdfdistended abdomenflattened inferior vena cavahypoperfusion complexhypovolemia
spellingShingle Vaishali Bodhraj Dhawan
Rakshanda Pravin Agrawal
Gahana Kataria
Visceral and Vascular Imaging Findings of Hypovolemic Shock in Contrast-enhanced Computed Tomography: A Case Report
Journal of Clinical and Diagnostic Research
distended abdomen
flattened inferior vena cava
hypoperfusion complex
hypovolemia
title Visceral and Vascular Imaging Findings of Hypovolemic Shock in Contrast-enhanced Computed Tomography: A Case Report
title_full Visceral and Vascular Imaging Findings of Hypovolemic Shock in Contrast-enhanced Computed Tomography: A Case Report
title_fullStr Visceral and Vascular Imaging Findings of Hypovolemic Shock in Contrast-enhanced Computed Tomography: A Case Report
title_full_unstemmed Visceral and Vascular Imaging Findings of Hypovolemic Shock in Contrast-enhanced Computed Tomography: A Case Report
title_short Visceral and Vascular Imaging Findings of Hypovolemic Shock in Contrast-enhanced Computed Tomography: A Case Report
title_sort visceral and vascular imaging findings of hypovolemic shock in contrast enhanced computed tomography a case report
topic distended abdomen
flattened inferior vena cava
hypoperfusion complex
hypovolemia
url https://www.jcdr.net/articles/PDF/20430/74637_CE[Ra1]_F(SHU)_QC(PS_IS)_PF1(JY_OM)_PFA_NC(SS)_PN(IS).pdf
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AT rakshandapravinagrawal visceralandvascularimagingfindingsofhypovolemicshockincontrastenhancedcomputedtomographyacasereport
AT gahanakataria visceralandvascularimagingfindingsofhypovolemicshockincontrastenhancedcomputedtomographyacasereport