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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.



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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).

 


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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).

 


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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.

 


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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).

 


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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.

 


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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.

 

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