CT Hypoperfusion Complex: Emergency CT Results During One Year
Aim: Computed tomography (CT) hypoperfusion complex is observed in the imaging findings of intra-abdominal organs and vascular structures during shock and hypoperfusion. The aim is to examine the frequency of CT hypoperfusion complex and etiologic factors by retrospectively analyzing the CT performe...
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2016-09-01
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| Series: | Eurasian Journal of Emergency Medicine |
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| Online Access: |
http://akademikaciltip.com/archives/archive-detail/article-preview/ct-hypoperfusion-complex-emergency-ct-results-duri/21812
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| _version_ | 1797906955060117504 |
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| author | İhsan Yüce |
| author_facet | İhsan Yüce |
| author_sort | İhsan Yüce |
| collection | DOAJ |
| description | Aim: Computed tomography (CT) hypoperfusion complex is observed in the imaging findings of intra-abdominal organs and vascular structures during shock and hypoperfusion. The aim is to examine the frequency of CT hypoperfusion complex and etiologic factors by retrospectively analyzing the CT performed on patients admitted to emergency departments.Materials and Methods:In our study, 930 abdomen and thorax tomographies were obtained from the patients admitted to our emergency department during a 1-year period. All CT scans were performed by using a 640-slice tomography device. The CT criteria for hypoperfusion complex included the small-caliber aorta and inferior vena cava (IVC), hyperdense bowel wall, surrenal enhancement, hypoperfused liver, spleen, and hyperdense kidney.Results: Our study revealed the presence of CT hypoperfusion complex in at least 1 of 15 patients (0.16%). We detected low-calibrated abdominal aorta together with hyperdense adrenal glands in all the CT hypoperfusion complex cases (15 cases, 0.16%). We found the presence of intra-abdominal free fluid in 13 cases (0.13%), halo sign in IVC in 8 cases (0.08%), hypoperfusion view of the spleen and liver in 5 cases (0.05%), pericholecystic fluid in 3 cases (0.03%), and sign of renal hyperperfusion (white kidney sign) in 3 cases (0.03%).Conclusion: Our study showed that low-calibrated abdominal aorta and hyperdense adrenal glands were present in each patient showing CT hypoperfusion complex, and the assessment of these two structures is very important before the setting-in of irreversible shock. |
| first_indexed | 2024-04-10T10:29:57Z |
| format | Article |
| id | doaj.art-6b8bf2b9ff0043b198b828f6cd67d52b |
| institution | Directory Open Access Journal |
| issn | 2149-5807 2149-6048 |
| language | English |
| last_indexed | 2024-04-10T10:29:57Z |
| publishDate | 2016-09-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Eurasian Journal of Emergency Medicine |
| spelling | doaj.art-6b8bf2b9ff0043b198b828f6cd67d52b2023-02-15T16:21:12ZengGalenos YayineviEurasian Journal of Emergency Medicine2149-58072149-60482016-09-0115313613810.5152/eajem.2016.3293213049054CT Hypoperfusion Complex: Emergency CT Results During One Yearİhsan Yüce0 Department of Radiology, Atatürk University School of Medicine, Erzurum, Turkey Aim: Computed tomography (CT) hypoperfusion complex is observed in the imaging findings of intra-abdominal organs and vascular structures during shock and hypoperfusion. The aim is to examine the frequency of CT hypoperfusion complex and etiologic factors by retrospectively analyzing the CT performed on patients admitted to emergency departments.Materials and Methods:In our study, 930 abdomen and thorax tomographies were obtained from the patients admitted to our emergency department during a 1-year period. All CT scans were performed by using a 640-slice tomography device. The CT criteria for hypoperfusion complex included the small-caliber aorta and inferior vena cava (IVC), hyperdense bowel wall, surrenal enhancement, hypoperfused liver, spleen, and hyperdense kidney.Results: Our study revealed the presence of CT hypoperfusion complex in at least 1 of 15 patients (0.16%). We detected low-calibrated abdominal aorta together with hyperdense adrenal glands in all the CT hypoperfusion complex cases (15 cases, 0.16%). We found the presence of intra-abdominal free fluid in 13 cases (0.13%), halo sign in IVC in 8 cases (0.08%), hypoperfusion view of the spleen and liver in 5 cases (0.05%), pericholecystic fluid in 3 cases (0.03%), and sign of renal hyperperfusion (white kidney sign) in 3 cases (0.03%).Conclusion: Our study showed that low-calibrated abdominal aorta and hyperdense adrenal glands were present in each patient showing CT hypoperfusion complex, and the assessment of these two structures is very important before the setting-in of irreversible shock. http://akademikaciltip.com/archives/archive-detail/article-preview/ct-hypoperfusion-complex-emergency-ct-results-duri/21812 Computed tomographyhypoperfusionshock |
| spellingShingle | İhsan Yüce CT Hypoperfusion Complex: Emergency CT Results During One Year Eurasian Journal of Emergency Medicine Computed tomography hypoperfusion shock |
| title | CT Hypoperfusion Complex: Emergency CT Results During One Year |
| title_full | CT Hypoperfusion Complex: Emergency CT Results During One Year |
| title_fullStr | CT Hypoperfusion Complex: Emergency CT Results During One Year |
| title_full_unstemmed | CT Hypoperfusion Complex: Emergency CT Results During One Year |
| title_short | CT Hypoperfusion Complex: Emergency CT Results During One Year |
| title_sort | ct hypoperfusion complex emergency ct results during one year |
| topic | Computed tomography hypoperfusion shock |
| url |
http://akademikaciltip.com/archives/archive-detail/article-preview/ct-hypoperfusion-complex-emergency-ct-results-duri/21812
|
| work_keys_str_mv | AT ihsanyuce cthypoperfusioncomplexemergencyctresultsduringoneyear |