Thoracic CT findings at hypovolemic shock

A. Rotondo, Orlando Catalano, R. Grassi, M. Scialpi, G. Angelelli

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Purpose: To describe and discuss the thoracic CT features of hypovolemic shock. Material and Methods: From a group of 18 patients with signs of hypovolemia on contrast-enhanced abdominal CT, 11 were selected for our study as having also undergone a complete chest examination. Pulse rate, blood pressure, trauma score value, Glasgow coma scale value, surgical result, and final outcome were retrospectively evaluated. The CT features analyzed were: decreased cardiac volume, reduced caliber of the thoracic aorta, aortic branches and caval venous system, increased enhancement of the aorta, and increased enhancement of the pulmonary collapses/contusions. Results: All 11 subjects presented severe injuries and hemodynamic instability; 7 were stable enough to undergo surgery; only 1 of the 11 survived. Two patients showed none of the features of thoracic hypovolemia. All the other patients presented at least two signs: reduced caliber of the thoracic aorta in 7 cases; decreased volume of the cardiac chambers and increased aortic enhancement in 6; decreased caliber of the aortic vessels in 4; decreased caliber of the caval veins in 3; and increased enhancement of the pulmonary collapses/ contusions in 3. Conclusions: In patients with hypovolemia, CT may show several thoracic findings in addition to abdominal ones. Knowledge of these features is important for distinguishing them from traumatic injuries.

Original languageEnglish
Pages (from-to)400-404
Number of pages5
JournalActa Radiologica
Volume39
Issue number4
Publication statusPublished - Jul 1998

Fingerprint

Hypovolemia
Shock
Thorax
Cardiac Volume
Venae Cavae
Pulmonary Atelectasis
Contusions
Thoracic Aorta
Wounds and Injuries
Glasgow Coma Scale
Aorta
Veins
Heart Rate
Hemodynamics
Blood Pressure

Keywords

  • CT
  • Thorax, injuries
  • Trauma, shock

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

Cite this

Rotondo, A., Catalano, O., Grassi, R., Scialpi, M., & Angelelli, G. (1998). Thoracic CT findings at hypovolemic shock. Acta Radiologica, 39(4), 400-404.

Thoracic CT findings at hypovolemic shock. / Rotondo, A.; Catalano, Orlando; Grassi, R.; Scialpi, M.; Angelelli, G.

In: Acta Radiologica, Vol. 39, No. 4, 07.1998, p. 400-404.

Research output: Contribution to journalArticle

Rotondo, A, Catalano, O, Grassi, R, Scialpi, M & Angelelli, G 1998, 'Thoracic CT findings at hypovolemic shock', Acta Radiologica, vol. 39, no. 4, pp. 400-404.
Rotondo A, Catalano O, Grassi R, Scialpi M, Angelelli G. Thoracic CT findings at hypovolemic shock. Acta Radiologica. 1998 Jul;39(4):400-404.
Rotondo, A. ; Catalano, Orlando ; Grassi, R. ; Scialpi, M. ; Angelelli, G. / Thoracic CT findings at hypovolemic shock. In: Acta Radiologica. 1998 ; Vol. 39, No. 4. pp. 400-404.
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