CTA of the Pelvis for Fournier's Gangrene

Imaging Guidelines

• The American College of Radiology recommends using standard CT of the abdomen and pelvis, not CTA, to evaluate infection and abscess formation in soft tissue complications, but emphasizes that CT is diagnostic only and cannot provide therapeutic intervention 1

CTA Indications

• The American College of Radiology Appropriateness Criteria define CTA indications as active hemorrhage detection, with bleeding rates as low as 0.3 mL/min, for vascular pathology 1, 2
• The American College of Radiology Appropriateness Criteria define CTA indications as vascular injury from trauma, including pseudoaneurysm and arterial extravasation 3, 4
• The American College of Radiology Appropriateness Criteria define CTA indications as arterial stenosis or thrombosis 5, 6