参考文献:1.Sivit CJ, Taylor GA, Bulas DI, Kushner DC, Potter BM, Eichelberger MR. Posttraumatic shock in children: CT findings associated with hemodynamic instability. Radiology. 1992;182(3):723–6.CrossRef PubMed 2.Cheung SCW, Lee R, Tung HKS, Chan FL. Persistent adrenal enhancement may be the earliest CT sign of significant hypovolaemic shock. Clin Radiol. 2003;58(4):315–8.CrossRef PubMed 3.Venkatanarasimha N, Roobottom C. Intense adrenal enhancement: a feature of hypoperfusion complex. Am J Roentgenol. 2010;195(1):W82.CrossRef 4.Bollen TL, van Santvoort HC, Besselink MGH, van Ramshorst B, van Es HW, Gooszen HG, Dutch Acute Pancreatitis Study Group. Intense adrenal enhancement in patients with acute pancreatitis and early organ failure. Emerg Radiol. 2007;14(5):317–22.CrossRef PubMed 5.Ryan MF, Hamilton PA, Sarrazin J, Chu P, Benjaminov O, Lam K. The halo sign and peripancreatic fluid: useful CT signs of hypovolaemic shock complex in adults. Clin Radiol. 2005;60(5):599–607.CrossRef PubMed 6.Schek J, Macht S, Klasen-Sansone J, et al. Clinical impact of hyperattenuation of adrenal glands on contrast-enhanced computed tomography of polytraumatised patients. Eur Radiol. 2014;24(2):527–30.CrossRef PubMed 7.O’Hara SM, Donnelly LF. Intense adrenal enhancement of the adrenal glands: another abdominal CT finding associated with hypoperfusion complex in children. Am J Roentgenol. 1999;173(4):995–7.CrossRef 8.Ames JT, Federle MP. CT hypotension complex (shock bowel) is not always due to traumatic hypovolemic shock. Am J Roentgenol. 2009;192(5):W230–5.CrossRef 9.Gore RM, Mathieu DG, White EM, Ghahremani GG, Panella JS, Rochester D. Passive hepatic congestion: cross-sectional imaging features. Am J Roentgenol. 1994;162(1):71–5.CrossRef 10.Torabi M, Hosseinzadeh K, Federle MP. CT of nonneoplastic hepatic vascular and perfusion disorders. Radiographics. 2008;28(7):1967–82.CrossRef PubMed 11.Kawashima A, Sandler CM, Ernst RD, et al. Imaging of nontraumatic hemorrhage of the adrenal gland. Radiographics. 1999;19(4):949–63.CrossRef PubMed 12.Rotondo A, Angelelli G, Catalano O, et al. Abdominal computed tomographic findings in adults with hypovolemic shock. Emerg Radiol. 1997;4(1):10–5.CrossRef 13.Prasad KR, Kumar A, Gamanagatti S, Chandrashekhara SH. CT in post-traumatic hypoperfusion complex—a pictorial review. Emerg Radiol. 2011;18(2):139–43.CrossRef PubMed
作者单位:Maja Hrabak-Paar (1)
1. Department of Diagnostic and Interventional Radiology, University Hospital Center Zagreb, University of Zagreb School of Medicine, Kišpatićeva 12, 10000, Zagreb, Croatia
刊物类别:Medicine
刊物主题:Medicine & Public Health Imaging and Radiology Nuclear Medicine Ultrasound Cardiology
出版者:Springer New York
ISSN:1432-086X
文摘
In this report, images of intense adrenal enhancement in a 79-year-old female patient with right-sided heart failure and severe tricuspid insufficiency are presented. Only two cases of intense adrenal enhancement as a sign of cardiogenic shock were previously reported in the literature. Intense adrenal enhancement could be one of the earliest CT signs of cardiogenic shock. Its presence should be immediately reported to the referring physician as a sign of significant hemodynamic instability warranting early critical-care management.