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.

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