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Published on: December 19, 2020
Abdominal imaging in COVID-19
Daniel Vasile Balaban1, Oana Madalina Baston2, Mariana Jinga3
1Department of Internal Medicine and Gastroenterology, Carol Davila University of Medicine and Pharmacy; Dr. Carol Davila Central Military Emergency University Hospital, Bucharest 020021, Romania. vbalaban@yahoo.com.
Insights
Coronavirus disease 2019 (COVID-19) can affect the digestive system, leading to various abdominal imaging findings. This review summarizes current data on abdominal imaging in COVID-19 patients, highlighting hepato-biliary, pancreatic, and bowel pathologies.
Area of Science:
- Gastroenterology and Hepatology
- Radiology
- Infectious Diseases
Background:
- Coronavirus disease 2019 (COVID-19) initially presented as a respiratory illness but is now understood to have a broad clinical spectrum.
- Digestive system involvement is increasingly recognized in COVID-19 patients.
- Limited research exists on abdominal imaging findings in COVID-19.
Purpose of the Study:
- To review and summarize current data on abdominal imaging techniques in COVID-19.
- To discuss underlying mechanisms, indications, and imaging findings of COVID-19 related abdominal pathologies.
- To provide practice points for clinicians in recognizing digestive injuries caused by SARS-CoV-2.
Main Methods:
- Systematic review of published literature on abdominal imaging in COVID-19 patients.
- Analysis of clinical and laboratory data alongside imaging findings.
- Synthesis of information regarding hepato-biliary, pancreatic, and bowel involvement.
Main Results:
- A wide spectrum of abdominal imaging findings associated with COVID-19 has been reported.
- Findings include pathologies affecting the liver, biliary system, pancreas, and bowel.
- Current recommendations for abdominal imaging in COVID-19 are based on limited evidence.
Conclusions:
- COVID-19 can manifest with diverse abdominal imaging abnormalities.
- Further research is needed to establish comprehensive guidelines for abdominal imaging in COVID-19.
- Recognizing these digestive-related injuries is crucial for patient management.
Abstract:
Initially thought of as a respiratory infection, coronavirus disease-2019 (COVID-19) is now recognized as a complex disease with a wide clinical spectrum, including digestive involvement. While several studies have evaluated chest imaging findings in COVID-19, few papers have looked at the abdominal imaging features of these patients. Liver, biliary, pancreas and bowel involvement have been reported in COVID-19 infected patients. In this review, we aim to summarize currently available data related to abdominal imaging techniques in COVID-19, in accordance with relevant clinical and laboratory workup of these patients. Underlying mechanisms, indications and imaging findings related to COVID-19 are discussed based on published data. Also, practice points for clinicians are highlighted in order to adequately recognize digestive-related injuries of severe acute respiratory syndrome coronavirus 2 infection. While there's been a steady accumulation of data with respect to abdominal imaging findings in COVID-19, currently available recommendations are based on limited research. There is a wide spectrum of abdominal imaging findings in COVID-19, which includes hepato-biliary, pancreatic and luminal pathology.
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