CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2019; 29(02): 223-225
DOI: 10.4103/ijri.IJRI_353_18
Case Report

Venous reflux into renal and spinal veins on MDCT in a surviving patient

Sumana Bingi
Departments of Radiodiagnosis and 1Medicine, Great Eastern Medical School and Hospital, Srikakulam, Andhra Pradesh, India
,
Sahaja Kanugula
Departments of Radiodiagnosis and 1Medicine, Great Eastern Medical School and Hospital, Srikakulam, Andhra Pradesh, India
,
Swarupa Keerthipati
Departments of Radiodiagnosis and 1Medicine, Great Eastern Medical School and Hospital, Srikakulam, Andhra Pradesh, India
,
Kalyani Bankupalli
Departments of Radiodiagnosis and 1Medicine, Great Eastern Medical School and Hospital, Srikakulam, Andhra Pradesh, India
,
Balakrishna Gowdu Thimmoji
Departments of Radiodiagnosis and 1Medicine, Great Eastern Medical School and Hospital, Srikakulam, Andhra Pradesh, India
,
Rajanikanth Rao Vedula
Departments of Radiodiagnosis and 1Medicine, Great Eastern Medical School and Hospital, Srikakulam, Andhra Pradesh, India
› Author Affiliations

Subject Editor: Financial support and sponsorship Nil.

Abstract

In patients of cardiac arrest or near death, opacification of inferior vena cava and renal veins during the arterial phase of intravenous contrast administration at computed tomography (CT) examination is well known. We present a case of extensive reflux into renal and spinal veins in a patient who survived for 1 week following multidetector computed tomography (MDCT) examination without any life supporting devices.



Publication History

Article published online:
22 July 2021

© 2019. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 Reynolds O An experimental investigation of the circumstances which determine whether the motion of water shall be direct or sinuous, and of the law of resistance in parallel channels. Phil Trans 1883; 174: 935-82
  • 2 Burton AC. Laws of physics and flow in blood vessels. In: Wolstenholme GEW. editors Visceral Circulation. London: Churchill; 1952: 70-84
  • 3 Green HD. Circulation: physical principles. In: Glasser O. editors Medical Physics. Chicago: Year Book Publishers; 1994
  • 4 Sami KA, Alaaddin N, Osman T, Emine U, Ozbek S. Cardiac arrest during computed tomography scanning: Imaging findings. J Radiol Radiat Ther 2013; 1: 1018-9
  • 5 Clark TJ, Suby-Long T. Computed tomography of acute heart failure: A novel case and literature review. Radiol Case Rep 2015; 10: 1065 DOI: 10.2484/rcr.v10i1.1065.
  • 6 Singh AK, Gervais D, Mueller P, Shirkhoda A, Sagar P, McCarroll K. 2004; Cardiac arrest: abdominal CT imaging features. Abdominal Imaging 29: 177-9 DOI: 10.1007/s00261-003-0120-0. PubMed [PubMed]
  • 7 Jana M, Gamanagatti SR, Kumar A. Case series: CT scan in cardiac arrest and imminent cardiogenic shock. Indian J Radiol Imaging 2010; 20: 150-3
  • 8 Roth C, Sneider M, Bogot N, Todd M, Cronin P. Dependent venous contrast pooling and layering: A sign of imminent cardiogenic shock. AJR Am J Roentgenol 2006; 186: 1116-9
  • 9 Tsai PP, Chen JH, Huang JL, Shen WC. Dependent pooling: A contrast-enhanced sign of cardiac arrest during CT. AJR Am J Roentgenol 2002; 178 -178 1095
  • 10 Ko SF, Ng SH, Chen MC, Lee TY, Huang CC, Wan YL. Sudden cardiac arrest during computed tomography examination: Clinical findings and “dense abdominal veins” on computed tomography. J Comput Assist Tomogr 2003; 27: 93-7