Published online Jul 28, 2021. doi: 10.4329/wjr.v13.i7.227
Peer-review started: February 7, 2021
First decision: May 6, 2021
Revised: May 6, 2021
Accepted: June 23, 2021
Article in press: June 23, 2021
Published online: July 28, 2021
Initially thought of as a respiratory infection, coronavirus disease-2019 (COVID-19) is now recognized as a complex disease with a wide clinical spectrum, including digestive involvement. While several studies have evaluated chest imaging findings in COVID-19, few papers have looked at the abdominal imaging features of these patients. Liver, biliary, pancreas and bowel involvement have been reported in COVID-19 infected patients. In this review, we aim to summarize currently available data related to abdominal imaging techniques in COVID-19, in accordance with relevant clinical and laboratory workup of these patients. Underlying mechanisms, indications and imaging findings related to COVID-19 are discussed based on published data. Also, practice points for clinicians are highlighted in order to adequately recognize digestive-related injuries of severe acute respiratory syndrome coronavirus 2 infection. While there’s been a steady accumulation of data with respect to abdominal imaging findings in COVID-19, currently available recommendations are based on limited research. There is a wide spectrum of abdominal imaging findings in COVID-19, which includes hepato-biliary, pancreatic and luminal pathology.
Core Tip: Initially being thought of as a respiratory infection, coronavirus disease-2019 (COVID-19) is now widely recognized as a complex disease with systemic features. Gastrointestinal manifestations have been reported with high prevalence in severe acute respiratory syndrome coronavirus 2 infected patients, including gut, pancreas, liver and biliary dysfunction. In this review we summarize and analyze currently available evidence on abdominal imaging techniques, indications and findings in COVID-19, in accordance with relevant clinical and laboratory workup of these patients.