Your browser doesn't support javascript.
Abdominal Computed Tomography Angiography and Venography in Evaluation of Hemorrhagic and Thrombotic lesions in Hospitalized COVID-19 patients.
Abdelmohsen, Mohsen Ahmed; Alkandari, Buthaina M; Abdel Razek, Ahmed Abdel Khalek; Tobar, Ahmed Mohamed; Gupta, Vikash K; Elsebaie, Nermeen.
  • Abdelmohsen MA; Diagnostic and Interventional Radiology Department, Alexandria Faculty of Medicine, Shamplion Street, Alexandria 21131, Egypt; Medical Imaging Department, Jaber Al Ahmad Hospital, Ministry of Health, Khalid Ben Abdulaziz Street, South Surra, Kuwait City, Kuwait.
  • Alkandari BM; Medical Imaging Department, Jaber Al Ahmad Hospital, Ministry of Health, Khalid Ben Abdulaziz Street, South Surra, Kuwait City, Kuwait.
  • Abdel Razek AAK; Diagnostic Radiology Department, Mansoura Faculty of Medicine, Elgomheryia Street, Mansoura 13351, Egypt. Electronic address: arazek@mans.edu.eg.
  • Tobar AM; Medical Imaging Department, Jaber Al Ahmad Hospital, Ministry of Health, Khalid Ben Abdulaziz Street, South Surra, Kuwait City, Kuwait.
  • Gupta VK; University of Rajasthan, India.
  • Elsebaie N; Diagnostic and Interventional Radiology Department, Alexandria Faculty of Medicine, Shamplion Street, Alexandria 21131, Egypt. Electronic address: Nermeen.elsebaie@alexmed.edu.eg.
Clin Imaging ; 79: 12-19, 2021 Nov.
Article in English | MEDLINE | ID: covidwho-1184896
ABSTRACT

PURPOSE:

To report imaging findings at computed tomography angiography (CTA) and venography (CTV) of the abdomen and pelvis in evaluation of hemorrhagic and thrombotic lesions in hospitalized patients with COVID-19.

METHODS:

In this retrospective observational study, patients admitted to a single tertiary care center from April 1 to July 20, 2020, who tested positive for SARS-CoV-2 and developed acute abdominal pain or decreasing hemoglobin levels over the course of hospitalization were included. Abdominal CTA/CTV imaging studies performed in these patients were reviewed, and acute hemorrhagic or thromboembolic findings were recorded.

RESULTS:

A total of 40 patients (mean age, 59.7 years; 20 men, 20 women) were evaluated. Twenty-five patients (62.5%) required intensive care unit (ICU) admission and 15 patients (37.5%) were treated in the medical ward. Hemorrhagic complications were detected in 19 patients (47.5%), the most common was intramuscular hematoma diagnosed in 17 patients; It involved the iliopsoas compartment unilaterally in 10 patients, bilaterally in 2 patients and the rectus sheath in 5 cases. Pelvic extraperitoneal hemorrhage was found in 3 patients, and mesenteric hematoma in one patient. Thromboembolic events were diagnosed in 8 patients (20%) including; arterial thrombosis (n = 2), venous thrombosis (n = 2), splenic infarct (n = 1), bowel ischemia (n = 1) and multiple sites of thromboembolism (n = 2).

CONCLUSION:

Our study highlights that both hemorrhagic and thromboembolic complications can be seen in hospitalized patients with COVID-19. It is important that radiologists maintain a high index of suspicion for early diagnosis of these complications.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Thrombosis / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study Limits: Female / Humans / Male / Middle aged Language: English Journal: Clin Imaging Journal subject: Diagnostic Imaging Year: 2021 Document Type: Article Affiliation country: J.clinimag.2021.04.002

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Collection: International databases Database: MEDLINE Main subject: Thrombosis / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study Limits: Female / Humans / Male / Middle aged Language: English Journal: Clin Imaging Journal subject: Diagnostic Imaging Year: 2021 Document Type: Article Affiliation country: J.clinimag.2021.04.002