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Year : 2006  |  Volume : 16  |  Issue : 4  |  Page : 951-952
Radiological quiz - abdomen

Dept. of Radiodiagnosis, JN Medical College, AMU, Aligarh, India

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Date of Submission31-Jul-2006
Date of Acceptance10-Oct-2006

How to cite this article:
Abbas S Z, Rashid M, Abbas S N, Khan I A. Radiological quiz - abdomen. Indian J Radiol Imaging 2006;16:951-2

How to cite this URL:
Abbas S Z, Rashid M, Abbas S N, Khan I A. Radiological quiz - abdomen. Indian J Radiol Imaging [serial online] 2006 [cited 2020 Dec 1];16:951-2. Available from:
A 22 year old male patient who has suffered blunt trauma in a severe motor vehicle accident was brought to Emergency Section of our Hospital in an unconscious state. Patient was afebrile with a shallow and rapid respiration (R/R - 40/min) and his systolic B.P was 60mmHg. Physical examination revealed multiple abrasions over Right upper abdomen. Chest radiograph revealed fracture of Right 6th and 7th rib anteriorly but no evidence of pneumothorax or hemothorax. Cervical and pelvic roentography were unremarkable. IV fluids were administered and patient was screened by ultrasonography (FAST Scanning) which revealed intraperitoneal fluid collection. Following are the Contrast Enhanced CT abdomen images of the patient [Figure - 1][Figure - 2][Figure - 3]. What is your diagnosis?

   Radiological Diagnosis Top

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   References Top

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; 182:723-726  Back to cited text no. 1  [PUBMED]  
2.Taylor GA, Fallat ME, Eichelberger MR. Hypovolemic shock in children: abdominal CT manifestations. Radiology 1987; 164:479-481  Back to cited text no. 2  [PUBMED]  
3.Bulkley GB, Kvietys PR, Parks DA, Perry MA, Grangen DN. Relationship of blood flow and oxygen consumption to ischemic injury in the canine small intestine. Gastroenterology 1985; 89:852-857  Back to cited text no. 3    
4.Shanmuganathan K, Mirvis SE, Amorosa M. Periportal low density on CT in patients with blunt trauma: association with elevated venous pressure. AJR 1993; 160:279-283  Back to cited text no. 4    
5.Perez C, Llauger J, Palmer J. Computed tomographic findings in bowel ischemia. Gastrointest Radiol 1989; 4:241-245  Back to cited text no. 5    
6.Jeffrey RB, Federie MP. The collapsed inferior vena cava: CT evidence of hypovolemia. AJR 1988; 150:431-432  Back to cited text no. 6    
7.Chamrova z, Shanmuganathan K, Mirvis SE. Retroperitoneal fluid resulting from intravenous volume resuscitation in trauma: CT mimic of primary retropenitoneal injury. Emerg Radioll994; 1(2): 85-88  Back to cited text no. 7    
8.Mirvis SE, Gens DA, Shanmuganathan K. Rupture of the bowel after blunt abdominal trauma: diagnosis with CT. AJR 1992; 159:1217-1 221  Back to cited text no. 8    

Correspondence Address:
S Z Abbas
Department of Radiodiagnosis, JNMC, AMU, Aligarh, Aligarh - 202002
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0971-3026.32397

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  [Figure - 1], [Figure - 2], [Figure - 3]


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