Coronavirus Disease in the Abdomen

Mark A Anderson; Mark A Khauli; Reece J Goiffon; Avinash Kambadakone

doi:10.1016/j.yacr.2022.04.003

Coronavirus Disease in the Abdomen

Adv Clin Radiol. 2022 Sep;4(1):25-35. doi: 10.1016/j.yacr.2022.04.003. Epub 2022 Sep 14.

Authors

Mark A Anderson¹, Mark A Khauli¹, Reece J Goiffon¹, Avinash Kambadakone¹

Affiliation

¹ Department of Radiology, Massachusetts General Hospital, 55 Fruit Street, White Building, Room 270, Boston, MA 02114, USA.

Abstract

Numerous abdominal manifestations have been reported in patients with coronavirus disease 2019 (COVID-19), including involvement of the luminal gastrointestinal (GI) tract, hepatobiliary system, pancreas, kidneys, spleen, and blood vessels. Although most of the associated radiological abnormalities are nonspecific without distinguishing imaging features to suggest COVID-19, unique presentations such as findings of bowel ischemia preceding gross findings of bowel necrosis have been reported. Awareness of the spectrum of abdominal manifestations of COVID-19 allows radiologists to optimize their search pattern and to raise the possibility of this etiology when appropriate. Awareness of the possible abdominal manifestations of COVID-19 should enhance detection by radiologists and improve patient care. This review provides a comprehensive overview with illustrative imaging examples of COVID-19 in the abdomen.

Keywords: COVID-19; Coronavirus disease 2019; Enteritis; Ischemic bowel; SARS-CoV-2.

Publication types

Review