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

Farid Abushamat; Christoph F. Dietrich; Dirk Andre Clevert; Fabio Piscaglia; David T. Fetzer; Maria Franca Meloni; Masoud Shiehmorteza; Yuko Kono

doi:10.1002/jum.16002

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

Farid Abushamat, Christoph F. Dietrich, Dirk Andre Clevert, Fabio Piscaglia, David T. Fetzer, Maria Franca Meloni, Masoud Shiehmorteza, Yuko Kono

Research output: Contribution to journal › Article › peer-review

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.

Original language	English (US)
Journal	Journal of Ultrasound in Medicine
DOIs	https://doi.org/10.1002/jum.16002
State	Accepted/In press - 2022

Keywords

bleeding
CEUS
cirrhosis
hemoperitoneum

ASJC Scopus subject areas

Radiological and Ultrasound Technology
Radiology Nuclear Medicine and imaging

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10.1002/jum.16002

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title = "Contrast-Enhanced Ultrasound (CEUS) in the Evaluation of Hemoperitoneum in Patients With Cirrhosis",

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 = "bleeding, CEUS, cirrhosis, hemoperitoneum",

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doi = "10.1002/jum.16002",

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AU - Abushamat, Farid

AU - Dietrich, Christoph F.

AU - Clevert, Dirk Andre

AU - Piscaglia, Fabio

AU - Fetzer, David T.

AU - Meloni, Maria Franca

AU - Shiehmorteza, Masoud

AU - Kono, Yuko

PY - 2022

Y1 - 2022

N2 - 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.

AB - 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.

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KW - CEUS

KW - cirrhosis

KW - hemoperitoneum

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

Abstract

Keywords

ASJC Scopus subject areas

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