CT of Nontraumatic Abdominal Fluid Collections After Initial Fluid Resuscitation of Patients with Major Burns
Vernon M. Chapman1,
James T. Rhea,
Richard Sacknoff and
Robert A. Novelline
1 All authors: Department of Radiology, FND 216, Division of Emergency
Radiology, Massachusetts General Hospital, PO Box 9657, 55 Fruit St., Boston,
MA 02114.
Fig. 1.Transverse CT scan obtained with oral and IV contrast media
in 40-year-old woman with major burns shows edema surrounding right portal
vein and its branches (arrows).
Fig. 2.Transverse CT scan obtained with oral and IV contrast media
in 29-year-old man with major burns shows fluid and edema in subcutaneous
tissues of back and flanks (arrows).
Fig. 3A.Transverse CT scans obtained with oral and IV contrast media
in 33-year-old woman with major burns. CT scan shows fluid and edema in
anterior pararenal space (arrows), particularly surrounding
pancreas.
Fig. 3B.Transverse CT scans obtained with oral and IV contrast media
in 33-year-old woman with major burns. CT scan shows edema involving porta
hepatis (arrows).
Fig. 4.Transverse CT scan obtained with oral and IV contrast media
in 31-year-old woman with major burns shows fluid in perirenal space
(arrows) adjacent to lower pole of kidneys.
Fig. 5.Transverse CT scan obtained with oral and IV contrast media
in 33-year-old woman with major burns shows fluid and edema in small-bowel
mesentery, predominantly at root of mesentery (arrow). Prominent
enhancement of bowel mucosa, likely caused by hypoperfusion, is also
present.