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Published on: December 19, 2020
Imaging spectrum of abdominal manifestations of COVID-19
Tanvi Vaidya1, Avinash Nanivadekar2, Rajan Patel2
1Department of Radiology, Ruby Hall Clinic, Pune 411001, Maharashtra, India. tanvivaidya5@gmail.com.
Insights
Coronavirus disease 2019 (COVID-19) can cause gastrointestinal symptoms. Recognizing these imaging findings aids early diagnosis and management of severe COVID-19 complications.
Area of Science:
- Gastroenterology
- Radiology
- Infectious Diseases
Background:
- Coronavirus disease 2019 (COVID-19) is a global health threat, primarily a respiratory infection.
- Gastrointestinal (GI) symptoms can occur in COVID-19 due to viral infection or inflammation.
- Patients with GI symptoms may experience severe disease, increased morbidity, and mortality.
Purpose of the Study:
- To review gastrointestinal imaging manifestations in COVID-19 patients.
- To highlight the role of imaging in early diagnosis of COVID-19.
- To discuss management of COVID-19 related GI complications.
Main Methods:
- Review of radiologic findings in COVID-19 patients with GI symptoms.
- Analysis of imaging features including bowel, hepato-biliary, pancreatic, and vascular abnormalities.
- Correlation of imaging findings with disease severity and complications.
Main Results:
- COVID-19 presents diverse radiologic findings on GI imaging.
- Findings include bowel abnormalities, hepato-biliary/pancreatic involvement, vascular occlusion, and organ infarction.
- Early recognition of imaging features is crucial for timely intervention.
Conclusions:
- Gastrointestinal imaging plays a vital role in diagnosing COVID-19, especially in atypical cases.
- Identifying GI imaging features facilitates prompt management of complications.
- Awareness of these manifestations improves patient outcomes and guides treatment.
Abstract:
Coronavirus disease 2019 (COVID-19) has posed a serious threat to global public health with its rapid spread, high fatality, and severe burden on health care providers all over the world. Although COVID-19 has been established as a respiratory tract infection, it can manifest with gastrointestinal symptoms as a consequence of direct infection by the virus or due to inflammation-mediated cytotoxicity. It has been observed that COVID-19 patients presenting with gastrointestinal symptoms tend to progress to a severe form of disease with increased morbidity and mortality, thus indicating the need for timely management. COVID-19 manifests with a wide spectrum of radiologic findings on gastrointestinal tract imaging, encompassing bowel abnormalities, hepato-biliary and pancreatic involvement, vascular occlusion, and solid organ infarction. Early recognition of these imaging features can facilitate timely treatment of COVID-19 associated gastrointestinal tract complications and may prompt the diagnosis of COVID-19 in patients with atypical disease manifestations. The aim of this article is to provide an overview of the various gastrointestinal imaging manifestations that can be encountered in patients with COVID-19, with an emphasis on early diagnosis of the disease as well as treatment related complications.
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