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Abdominal imaging findings on computed tomography in patients acutely infected with SARS-CoV-2: what are the findings?
- Source :
- Emergency Radiology
- Publication Year :
- 2021
- Publisher :
- Springer Science and Business Media LLC, 2021.
-
Abstract
- Objectives To investigate what findings are new on contrast-enhanced abdominopelvic CT in patients infected with SARS-CoV-2. Methods Contrast-enhanced CT of the abdomen and pelvis of patients with COVID-19 at a tertiary oncologic center acquired over a 2-month period were reviewed independently by two readers and scored for new imaging abnormalities compared with a prior scan. CT scans were included if the study was performed between − 3 and 45 days from the time of COVID-19 diagnosis. Clinical information was gathered from the medical records. Results A total of 63 patients (34 male, 29 female; mean age 60.6 years, range 24.4–85.0 years) were included in this retrospective cross-sectional study. Aside from new ground glass opacities seen at the lung bases (29/63, 46.0%), the most common findings were new thickening of the stomach, small bowel or colon or fluid-filled colon (14/63, 22.2%), new small volume ascites (7/63, 14.3%), gallbladder distention in those without prior cholecystectomy (3/43, 7.0%), and single cases each of acute pancreatitis (1/63, 1.6%) as well as new portal vein thrombosis (1/63, 1.6%). Conclusion Aside from lung base ground glass opacities, the most common new imaging abnormality on abdominopelvic CT in patients with COVID-19 finding in our cohort was abnormalities of the gastrointestinal tract, followed by small volume ascites, gallbladder distention, and isolated cases of pancreatitis and portal vein thrombosis. These findings overlap with those previously reported that did not have a prior scan for comparison, and provide supportive evidence that some of these findings may be related to SARS-CoV-2 infection.
- Subjects :
- Adult
Male
medicine.medical_specialty
medicine.medical_treatment
Young Adult
COVID-19 Testing
Abdomen
Ascites
medicine
Humans
Radiology, Nuclear Medicine and imaging
Computed tomography
Aged
Retrospective Studies
Aged, 80 and over
Lung
SARS-CoV-2
Enterocolitis
business.industry
Gallbladder
COVID-19
Middle Aged
medicine.disease
Portal vein thrombosis
Coronavirus
Cross-Sectional Studies
medicine.anatomical_structure
Pancreatitis
Acute Disease
Emergency Medicine
Acute pancreatitis
Female
Original Article
Cholecystectomy
Radiology
medicine.symptom
Tomography, X-Ray Computed
business
Subjects
Details
- ISSN :
- 14381435 and 10703004
- Volume :
- 28
- Database :
- OpenAIRE
- Journal :
- Emergency Radiology
- Accession number :
- edsair.doi.dedup.....831688429cd015810917796d6b78f3c8