TY  - JOUR
PY  - 2023//
TI  - Imaging in crush injury: a spectrum of findings in survivors of the twin earthquakes on February 6, 2023
JO  - Emergency radiology
A1  - Erdemir, Ahmet Gürkan
A1  - İdilman, İlkay Sedakat
A1  - Çifçi, Gökçen Çoban
A1  - Yıldız, Adalet Elçin
A1  - Demirkazık, Figen
A1  - Onur, Mehmet Ruhi
A1  - Akpınar, Erhan
A1  - Aydıngöz, Üstün
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - On February 6, two major earthquakes with magnitudes of 7.8 and 7.7 on the Richter scale hit Turkey and Northern Syria causing more than 50,000 deaths. In the immediate aftermath of the earthquakes, our major tertiary medical referral center received dozens of cases of crush syndrome, presenting with a variety of imaging findings. Crush syndrome is characterized by hypovolemia, hyperkalemia, and myoglobinuria that can lead to rapid death of victims, despite their survival of staying under wreckage for days. The typical triad of crush syndrome consists of the acute tubular necrosis, paralytic ileus, and third-space edema. In this article, we focus primarily on characteristic imaging findings of earthquake-related crush syndrome and divided them into two distinct subsections: myonecrosis, rapid hypovolemia, excessive third-space edema, acute tubular necrosis, and paralytic ileus, which are directly related to crush syndrome, and typical accompanying findings of earthquake-related crush syndrome. Lower extremity compression in earthquake survivors results in the typical third-space edema. In addition to the lower extremities, other skeletal muscle regions are also affected, especially rotator muscles, trapezius, and pectoral muscles. Although it may be relatively easy to better detect myonecrosis with contrast-enhanced CT scans, changing the windowing of the images may be helpful.<p />  <p>Language: en</p>
LA  - en
SN  - 1070-3004
UR  - http://dx.doi.org/10.1007/s10140-023-02147-4
ID  - ref1
ER  -