Findings of Abdominal Imaging in Patients with COVID-19 – Part 1: Hollow Organs

Langroudi, Ashkan Pourabhari; Varniab, Zahra Shokri; Amouei, Mehrnam; Pak, Neda; Khosravi, Bardia; Mirsharifi, Alireza; Radmard, Amir Reza

doi:10.34172/mejdd.2022.284

Cited by 3 publications

(1 citation statement)

References 58 publications

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“… 7 Other GI symptoms like diarrhea, nausea, vomiting, abdominal distention, and GI bleeding may demand an abdominal CT for further evaluation. 8 While COVID-19 testing is becoming widely available, cross-sectional abdominal imaging can be utilized more quickly in patients with a severe GI manifestation of COVID-19 to diagnose severe complications and start treatment as soon as possible. 9 Common indications for abdominal imaging in COVID-19 are presented in Table 1 .…”

Section: Introductionmentioning

confidence: 99%

Abdominal Imaging Findings in Patients with COVID-19 Part 2: Solid Organs

Varniab

Langroudi

Amouei

et al. 2022

Middle East J Dig Dis

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Since severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) first appeared in China in December 2019, the globe has been dealing with an ever-increasing incidence of coronavirus disease 2019 (COVID-19). In addition to respiratory disorders, 40% of patients present with gastrointestinal (GI) involvement. Abdominal pain is the most common indication for computed tomography (CT) and ultrasonography. After GI tract involvement, solid visceral organ infarction is the most prevalent abdominal abnormality in COVID-19. This review aims to gather the available data in the literature about imaging features of solid abdominal organs in patients with COVID-19. Gallbladder wall thickening and distension, cholelithiasis, hyperdense biliary sludge, acalculous cholecystitis, periportal edema, heterogeneous liver enhancement, and liver hypodensity and infarction are among hepatobiliary imaging findings in CT, particularly in patients admitted to ICU. Pancreatic involvement can develop as a result of direct SARS-CoV2 invasion with signs of acute pancreatitis in abdominal CT, such as edema and inflammation of the pancreas. Infarction was the most prevalent renal and splenic involvement in patients with COVID-19 who underwent abdominal CT presenting with areas of parenchymal hypodensity. In conclusion, although solid abdominal organs are rarely affected by COVID-19, clinicians must be familiar with the manifestations since they are associated with the disease severity and poor outcome.

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Section: Introductionmentioning

confidence: 99%

Abdominal Imaging Findings in Patients with COVID-19 Part 2: Solid Organs

Varniab

Langroudi

Amouei

et al. 2022

Middle East J Dig Dis

Self Cite

View full text Add to dashboard Cite

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A review of current effective COVID-19 testing methods and quality control

et al. 2023

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COVID-19 is a highly infectious disease caused by the SARS-CoV-2 virus, which primarily affects the respiratory system and can lead to severe illness. The virus is extremely contagious, early and accurate diagnosis of SARS-CoV-2 is crucial to contain its spread, to provide prompt treatment, and to prevent complications. Currently, the reverse transcriptase polymerase chain reaction (RT-PCR) is considered to be the gold standard for detecting COVID-19 in its early stages. In addition, loop-mediated isothermal amplification (LMAP), clustering rule interval short palindromic repeats (CRISPR), colloidal gold immunochromatographic assay (GICA), computed tomography (CT), and electrochemical sensors are also common tests. However, these different methods vary greatly in terms of their detection efficiency, specificity, accuracy, sensitivity, cost, and throughput. Besides, most of the current detection methods are conducted in central hospitals and laboratories, which is a great challenge for remote and underdeveloped areas. Therefore, it is essential to review the advantages and disadvantages of different COVID-19 detection methods, as well as the technology that can enhance detection efficiency and improve detection quality in greater details.

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Surgical aspects of pediatric abdominal pain in the era of COVID-19: clinical consideration and outcomes

Abo-Halawa,

Negm,

Arafa

et al. 2024

Front. Pediatr.

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BackgroundAcute abdominal pain in pediatrics is a medical emergency that requires special attention. During COVID-19 pandemic, this disease presented in pediatric age by different presentations including abdominal presentations.The affected children are presented with abdominal pain, which may be caused by surgical causes or by the virus itself that necessitate surgical consultation.PurposeThis study highlights the impact of the coronavirus pandemic on pediatric patients with acute abdominal pain regarding the presentation, clinical evaluation, and surgical management.MethodsA retrospective cohort study was done through the collection of data from medical records and authors’ data repositories of pediatric patients presented with acute abdomen from March 2020 to March 2022, in three pediatric surgery tertiary centers.ResultsEighty-four pediatric patients with acute abdominal pain were included in this study. The diagnosis of acute appendicitis was found in 31 patients (36.9%). Generalized abdominal pain was noted in 17 patients (20.2%) and presentation mimicked acute cholecystitis was occured in 14 patients (16.7%). ultrasonography revealed intussusception in 12 cases (14.3%). Multisystem inflammatory syndrome in children (MIS-C) was present in 9 cases (10.7%) and only one case of pancreatitis (1.2%). Conservative management was successful in 66 cases (78.6%), while operative intervention was needed in18 cases (21.4%).ConclusionDuring the COVID-19 pandemic, acute abdominal pain in children was frequently observed. Careful follow up is critically important as most cases do not necessitate surgical intervention. It is crucial to consider COVID-19 as a differential diagnosis in children presenting with acute abdominal pain, particularly in cases of atypical appendicitis and intussusception to prevent unnecessary surgical procedures.

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Findings of Abdominal Imaging in Patients with COVID-19 – Part 1: Hollow Organs

Cited by 3 publications

References 58 publications

Abdominal Imaging Findings in Patients with COVID-19 Part 2: Solid Organs

Abdominal Imaging Findings in Patients with COVID-19 Part 2: Solid Organs

A review of current effective COVID-19 testing methods and quality control

Surgical aspects of pediatric abdominal pain in the era of COVID-19: clinical consideration and outcomes

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