Ultrasound features of abdominal thrombosis in COVID 19 patients

Yi Dong1, Yijie Qiu1, Jiaying Cao1

  • 1Department of Ultrasound, Zhongshan Hospital, Fudan University, Shanghai, China.

Insights

COVID-19 can cause abdominal thrombosis, a serious complication. Multimodality ultrasound effectively diagnoses these thrombotic events in hospitalized patients, aiding early detection and management.

Area of Science:

  • Vascular Medicine
  • Infectious Diseases
  • Radiology

Background:

  • Abdominal thromboses are an under-recognized complication of COVID-19.
  • Early diagnosis is crucial for effective management of these thrombotic events.

Purpose of the Study:

  • To report multimodality ultrasound imaging findings in hospitalized COVID-19 patients with abdominal thrombotic lesions.
  • To evaluate the utility of ultrasound in diagnosing abdominal thrombosis associated with COVID-19.

Main Methods:

  • Retrospective observational study of hospitalized COVID-19 patients with acute abdominal pain.
  • Review of abdominal ultrasound studies: B-mode (BMUS), color-Doppler (CCDS), and contrast-enhanced (CEUS).
  • Correlation with contrast-enhanced computed tomography angiography (CTA) findings.

Main Results:

  • 13 cases of abdominal thrombosis identified among 226 COVID-19 patients.
  • Common thromboses included iliac, portal venous (PV), superior mesenteric vein (VMS), and inferior vena cava (IVC).
  • Ultrasound detected intraluminary thrombi, reduced blood flow, and microcirculatory changes indicative of infarction.

Conclusions:

  • Thromboembolic complications are a significant concern in hospitalized COVID-19 patients.
  • Multimodality ultrasound is valuable for the early and accurate diagnosis of abdominal thrombosis in this population.
Abstract

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