Hypoperfusion Complex

  • Etiology: trauma causing shock, is reperfusion injury to gut following hypotension and intestinal ischemia
  • Imaging: diffuse intestinal dilation with fluid filled loops, intense enhancement of bowel walls / mesentery / adrenals / kidneys / pancreas, decreased caliber of IVC and aorta, free fluid
  • Clinical: marker of hypovolemic shock, very poor prognosis – 85% die within 72 hours

Cases of Hypoperfusion Complex