Critical Care RADIOLOGY Below the Diaphragm Pete Hersey

A note about this presentation All of these images are from SRH patients. The images will be added to over time.

Liver cystsStomach Spleen Splenic flexure Aorta Portal Vein IVC Rt Kidney Left Lung

What’s the diagnosis?

Should we lie this patient flat? What is the obvious abnormality? (This was a result of C-Diff)

Gas in superior mesenteric vein

Gas in Portal System (secondary to ischaemic gut)

Different patient, same thing (cause never found) Pretty massive stomach too!

Fat Stranding

Gas in bowel wall

Anything noticeable?

Free Fluid Large stomach given NG in situ

Further down – is a diagnosis coming to mind?

Dilated Small bowel with fluid. Lge bowel not visible

More of the same

How should this patient be managed? Why might they be high risk for surgery? (Have there been any clues on the CT of other co-morbidity)

What is this?

Faecal loading

This patient is 1/7 post coronary angiography. What complication did they develop?

Large Pelvic haematoma (from Fem artery puncture)

Renal Transplant Atrophic kidneys Transplanted kidney

Pancreatitis

Necrosis

Necrosis with Gas Formation

Mesenteric Volvulus

(Click to see video) Note the ‘whirlpool sign’ of the mesenteric vessels around each other.

Bladder Outflow Obstruction

Massive Bladder ? Large Prostate Dilated Renal Pelvis (bilateral)

Stented Aortic Aneurysm

What type of surgery has this patient had?