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Review
. 2023 Jan;42(1):247-253.
doi: 10.1002/jum.16002. Epub 2022 May 17.

Contrast-Enhanced Ultrasound (CEUS) in the Evaluation of Hemoperitoneum in Patients With Cirrhosis

Farid Abushamat  1 , Christoph F Dietrich  2 , Dirk-Andre Clevert  3 , Fabio Piscaglia  4 , David T Fetzer  5 , Maria Franca Meloni  6 , Masoud Shiehmorteza  1 , Yuko Kono  1
Affiliations
Review

Contrast-Enhanced Ultrasound (CEUS) in the Evaluation of Hemoperitoneum in Patients With Cirrhosis

Farid Abushamat et al. J Ultrasound Med. 2023 Jan.

Abstract

Hemoperitoneum in cirrhosis is a life-threatening condition that requires emergent evaluation. Contrast-enhanced ultrasound (CEUS) permits multiple dynamic characterizations of abdominal structures through all vascular phases, and contrast extravasation or the presence of microbubbles in the ascites could be a sensitive tool. We reviewed 13 patients with cirrhosis that underwent CEUS due to high suspicion for intra-abdominal bleeding. In 10 cases, CEUS demonstrated extravasation of contrast, including 2 instances where CEUS detected active bleeding despite negative computed tomography. These data support further study of CEUS in direct comparison to other imaging modalities in this clinical context.

Keywords: CEUS; bleeding; cirrhosis; hemoperitoneum.

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References

    1. Yıldız H, Akdoğan M, Suna N, et al. Cirrhosis with ascites: is the presence of hemorrhagic ascites an indicator of poor prognosis? Turk J Gastroenterol 2016; 27:349-353.
    1. DeSitter L, Rector WG. The significance of bloody ascites in patients with cirrhosis. Am J Gastroenterol 1984; 79:136-138.
    1. Urrunaga NH, Singal AG, Cuthbert JA, Rockey DC. Hemorrhagic ascites. Clinical presentation and outcomes in patients with cirrhosis. J Hepatol 2013; 58:1113-1118.
    1. Akriviadis EA. Hemoperitoneum in patients with ascites. Am J Gastroenterol 1997; 92:567-575.
    1. Ma YJ, Chen EQ, Lu JJ, Tan MZ, Tang H. Hemoperitoneum in cirrhotic patients without abdominal trauma or tumor. Hepatobiliary Pancreat Dis Int 2011; 10:644-648.

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