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Systemic Hypotension
Siva P. Raman, MD; Michael P. Federle, MD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          TERMINOLOGY

          • Synonyms

            • Shock bowel syndrome, hypoperfusion syndrome, hypovolemic shock complex
          • Definitions

            • Imaging findings related to shock or severe hypotension

          IMAGING

          • General Features

            • Imaging Recommendations

              • CT Findings

                DIFFERENTIAL DIAGNOSIS

                  PATHOLOGY

                  • General Features

                    CLINICAL ISSUES

                    • Presentation

                      • Natural History & Prognosis

                        DIAGNOSTIC CHECKLIST

                        • Image Interpretation Pearls

                          Selected References

                          1. Kwon OY et al: Shock bowel caused by neurogenic shock: computed tomography findings. J Emerg Med. 43(4):e251-3, 2012
                          2. Ames JT et al: CT hypotension complex (shock bowel) is not always due to traumatic hypovolemic shock. AJR Am J Roentgenol. 192(5):W230-5, 2009
                          3. Lubner M et al: CT evaluation of shock viscera: a pictorial review. Emerg Radiol. 15(1):1-11, 2008
                          4. Tarrant AM et al: A pictorial review of hypovolaemic shock in adults. Br J Radiol. 81(963):252-7, 2008
                          5. Ryan MF et al: The halo sign and peripancreatic fluid: useful CT signs of hypovolaemic shock complex in adults. Clin Radiol. 60(5):599-607, 2005
                          6. Eisenstat RS et al: The "flat cava" sign revisited: what is its significance in patients without trauma? AJR Am J Roentgenol. 178(1):21-5, 2002
                          7. Mirvis SE et al: Diffuse small-bowel ischemia in hypotensive adults after blunt trauma (shock bowel): CT findings and clinical significance. AJR Am J Roentgenol. 163(6):1375-9, 1994
                          8. Sivit CJ et al: Posttraumatic shock in children: CT findings associated with hemodynamic instability. Radiology. 182(3):723-6, 1992
                          9. Jeffrey RB Jr et al: The collapsed inferior vena cava: CT evidence of hypovolemia. AJR Am J Roentgenol. 150(2):431-2, 1988
                          Related Anatomy
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                          Related Differential Diagnoses
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                          References
                          Tables

                          Tables

                          KEY FACTS

                          • Terminology

                            • Imaging

                              • Top Differential Diagnoses

                                • Pathology

                                  TERMINOLOGY

                                  • Synonyms

                                    • Shock bowel syndrome, hypoperfusion syndrome, hypovolemic shock complex
                                  • Definitions

                                    • Imaging findings related to shock or severe hypotension

                                  IMAGING

                                  • General Features

                                    • Imaging Recommendations

                                      • CT Findings

                                        DIFFERENTIAL DIAGNOSIS

                                          PATHOLOGY

                                          • General Features

                                            CLINICAL ISSUES

                                            • Presentation

                                              • Natural History & Prognosis

                                                DIAGNOSTIC CHECKLIST

                                                • Image Interpretation Pearls

                                                  Selected References

                                                  1. Kwon OY et al: Shock bowel caused by neurogenic shock: computed tomography findings. J Emerg Med. 43(4):e251-3, 2012
                                                  2. Ames JT et al: CT hypotension complex (shock bowel) is not always due to traumatic hypovolemic shock. AJR Am J Roentgenol. 192(5):W230-5, 2009
                                                  3. Lubner M et al: CT evaluation of shock viscera: a pictorial review. Emerg Radiol. 15(1):1-11, 2008
                                                  4. Tarrant AM et al: A pictorial review of hypovolaemic shock in adults. Br J Radiol. 81(963):252-7, 2008
                                                  5. Ryan MF et al: The halo sign and peripancreatic fluid: useful CT signs of hypovolaemic shock complex in adults. Clin Radiol. 60(5):599-607, 2005
                                                  6. Eisenstat RS et al: The "flat cava" sign revisited: what is its significance in patients without trauma? AJR Am J Roentgenol. 178(1):21-5, 2002
                                                  7. Mirvis SE et al: Diffuse small-bowel ischemia in hypotensive adults after blunt trauma (shock bowel): CT findings and clinical significance. AJR Am J Roentgenol. 163(6):1375-9, 1994
                                                  8. Sivit CJ et al: Posttraumatic shock in children: CT findings associated with hemodynamic instability. Radiology. 182(3):723-6, 1992
                                                  9. Jeffrey RB Jr et al: The collapsed inferior vena cava: CT evidence of hypovolemia. AJR Am J Roentgenol. 150(2):431-2, 1988