Un état de CHOC chez un patient jeune sans antécédents ? Le scanner TAP au secours !

We will review the case of a young patient (in his forties), with no known medical history, who was admitted to the emergency department for shock. A thoracoabdominopelvic CT scan was instrumental in understanding the clinical picture. His only clinical complaint was dyspnea that had been developing for approximately two weeks. Upon admission, the patient was very dyspneic, with multiple breaths, severe hypotension, and peripheral mottling. There was no chest pain, but abdominal palpation revealed tenderness/guarding in FIG. Laboratory tests were altered, with lactate levels significantly elevated. There are multiple diagnostic hypotheses to explain this shock. A thoracoabdominopelvic CT scan was quickly performed, which will help us understand the clinical picture and thus adapt management. We will review this scan together. Case presented by Professor Mickaël Ohana, radiologist at the Strasbourg University Hospital. Note: Yes, I had the flu at the time of recording, hence my very, very tired appearance... But rest assured, I'm feeling better. ^^