Emerg Radiol. 2011 Apr;18(2):139-43. Epub 2010 Dec 23.
Prasad KR, Kumar A, Gamanagatti S, Chandrashekhara SH.
Department of Radiology, JPN Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi-110029, India.
Hypoperfusion complex is an uncommon entity found on computed tomography (CT) of blunt trauma. It is more common in children compared to adults. Everyone should be aware of this entity to interact with clinicians to aid in triage and management of patients in view of poor prognosis. It is also important to prevent unnecessary laparotomies by confusing abdominal organ injuries. There are certain visceral and vascular findings described on abdominal CT that would alert the radiologist for this entity. This pictorial review should increase radiologists' awareness and recognition of the CT manifestations of hypoperfusion complex before an irreversible state of shock occurs in blunt abdominal trauma.