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home abstracts CT hypoperfusion complex: how to recognize shock in the absence of profound hypotension

CT hypoperfusion complex: how to recognize shock in the absence of profound hypotension

Kamilė Počepavičiūtė1, Rasita Pavilionė 2

 1Lithuanian University of Health Sciences, Academy of Medicine, Faculty of Medicine, Kaunas, Lithuania

2Republic Klaipeda Hospital, Department of Radiology, Klaipeda, Lithuania

ABSTRACT

The most common causes of shock are traumatic events. Although signs of hypoperfusion complex are detected in only 5% of patients, who suffered blunt abdominal trauma, unfortunately, these findings are related to poor outcomes. Also this problem  is associated with loss of young patients because trauma is the leading cause of death for people aged 1-44 years. Therefore, it is a topical issue. Although the diagnosis of shock seems to be clear and based on specific criteria, it could be difficult challenge in the early phase. Radiological imaging may be helpful in this instance. We present three dissimilar cases and describe different specific signs of hypoperfusion complex that show shock indirectly. These criteria allow reflection of hypoperfusion and hypovolemia of particular organs and help shock to be detected early.

Keywords: shock, hypoperfusion complex, compensatory phase.