Gastrointestinal Imaging Findings in the Era of COVID-19: A Pictorial Review.
Xanthippi MavropoulouElisavet PsomaAngeliki PapachristodoulouNikoletta PyrrouEkaterini SpanouMaria AlexandratouMaria SidiropoulouAnastasia TheocharidouVasileios RafailidisTheofilos ChrysanthidisPanos PrassopoulosPublished in: Medicina (Kaunas, Lithuania) (2023)
The potentially fatal COVID-19 pandemic has been associated with a largespectrum of clinical presentations. Beyond the classical pulmonary manifestations, gastrointestinal tract-related symptoms suchas nausea, diarrhea, abdominal distention and pain have been observed in patients, as a consequence of the binding of SARS-CoV-19 to Angiotensin-converting Enzyme 2 (ACE2) receptors in the gastrointestinal (GI) tract. The early recognition ofspecific imaging features, including hepatobiliary involvement, pancreatic involvement, development of solid organ infarcts, ischemic bowel changes and vascular occlusion, plays a key role through the course of the disease. Also, suspicious symptoms, especially in critically ill patients with clinical and biochemical markers of hypovolemia, necessitate timely imaging for bleeding complications. The aim of this pictorial review is to illustrate the spectrum of the GIimaging findings in patients with COVID-19. Awareness of diagnostic imaging hallmarks is crucial to optimize the management of these patients.
Keyphrases
- sars cov
- high resolution
- end stage renal disease
- angiotensin converting enzyme
- newly diagnosed
- chronic kidney disease
- ejection fraction
- angiotensin ii
- peritoneal dialysis
- chronic pain
- mass spectrometry
- physical activity
- spinal cord injury
- transcription factor
- risk factors
- brain injury
- oxidative stress
- subarachnoid hemorrhage
- patient reported
- blood brain barrier
- sleep quality