Shock bowel

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Diffuse abnormality of small bowel in a hypoperfused (hypotensive) state, most often trauma.

CT Findings

  • Dilated fluid filled loops
  • Thickened walls
  • Enhancement of mucosa
  • IVC measuring < 9mm in AP diameter (measured at the level of renal veins)
  • Relatively normal colon

Should be distinguised from diffuse small bowel edema accompanying central venous hypertension (aggresive resuscitation), small bowel ischemia secondary to vascualr occlusion and diffuse small bowel injury.


Diffuse Small-Bowel Ischemia in Hypotensive Adults After Blunt Trauma (Shock Bowel)