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. 2020;74(4):353-361.
doi: 10.3233/CH-209003.

Contrast enhanced ultrasonography (CEUS) to detect abdominal microcirculatory disorders in severe cases of COVID-19 infection: First experience

E M Jung  1   2 , C Stroszczynski  2 , F Jung  3
Affiliations

Contrast enhanced ultrasonography (CEUS) to detect abdominal microcirculatory disorders in severe cases of COVID-19 infection: First experience

E M Jung et al. Clin Hemorheol Microcirc. 2020.

Abstract

In the hands of experienced examiners, the contrast enhanced sonography (CEUS) offers the possibility to analyze dynamic microcirculatory disturbances in real time dynamically without any risk for kidneys and thyroid gland even in severe progressing disease bedside. Based on severe COVID-19 infections, first experiences with abdominal CEUS examinations are presented. In the stage of an imminent organ failure with significantly reduced kidney and liver function, CEUS can be used to show a narrowing of the organ-supplying arteries, as well as a delayed capillary filling of vessels near the capsule, a regional reduced parenchymal perfusion or an inflammatory hyperemia with capillary hypercirculation. It is possible to quickly rule out organ infarction and to dynamically record the mesenteric arterial and venous blood flow.

Keywords: COVID-19; Corona virus; contrast enhanced ultrasound sonography (CEUS); kidney; liver.

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Figures

Fig. 1
Fig. 1
Representative CEUS images of liver and lung from a male 52 years old patient with COVID-19 disease of arrow with respiratory failure and inflammatory reaction of the lung with consolidations.
Fig. 2
Fig. 2
Representative images of the microvasculature of the liver from a 51 years old male patient with COVID-19 disease.
Fig. 3
Fig. 3
Representative images of the microvasculature of the liver and kidney of a 68 years old male patient with COVID-19 disease.
Fig. 4
Fig. 4
Representative images of the microvasculature of the kidney of a 73 years old male patient with COVID-19 disease.
Fig. 5
Fig. 5
Microvasculature of the kidney of a 74 years old male patient with COVID-19 disease.
Fig. 6
Fig. 6
Inflammatory reaction of the gallbladder in a of a 73 years old male patient with COVID-19 disease.
Fig. 7
Fig. 7
Microvasculature of the liver of a 52 years old male patient with COVID-19 disease.
See this image and copyright information in PMC

Comment in

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