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Findings of Abdominal Imaging in Patients With Covid-19 – Part 1: Hollow Organs Publisher



Langroudi AP1 ; Varniab ZS1 ; Amouei M1 ; Pak N1 ; Khosravi B1 ; Mirsharifi A2 ; Radmard AR1
Authors
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Authors Affiliations
  1. 1. Department of Radiology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Department of Surgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran

Source: Middle East Journal of Digestive Diseases Published:2022


Abstract

Since COVID-19 has spread worldwide, the role of imaging for early detection of the disease has become more prominent. Abdominal symptoms in COVID-19 are common in addition to respiratory manifestations. This review collected the available data about abdominal computed tomography (CT) and ultrasonography indications in hollow abdominal organs in patients with COVID-19 and their findings. Since abdominal imaging is less frequently used in COVID-19, there is limited information about the gastrointestinal findings. The most common indications for abdominal CT in patients with COVID-19 were abdominal pain and sepsis. Bowel wall thickening and fluid-filled colon were the most common findings in abdominal imaging. Acute mesenteric ischemia (AMI) was one of the COVID-19 presentations secondary to coagulation dysfunction. AMI manifests with sudden abdominal pain associated with high morbidity and mortality in admitted patients; therefore, CT angiography should be considered for early diagnosis of AMI. Ultrasonography is a practical modality because of its availability, safety, rapidity, and ability to be used at the bedside. Clinicians and radiologists should be alert to indications and findings of abdominal imaging modalities in COVID-19 to diagnose the disease and its potentially serious complications promptly. © 2022 The Author(s).