CC BY-NC-ND 4.0 · Journal of Gastrointestinal and Abdominal Radiology
DOI: 10.1055/s-0042-1742678
Pictorial Essay

Pictorial Depiction of an Institutional Experience of Acute Abdominal Emergencies in Cancer Patients with COVID-19 Infection

Ankush Jajodia
1   Department of Radiology, Rajiv Gandhi Cancer Institute and Research Centre, Delhi, India
,
Anuraag Jena
2   Department of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
,
Sunil Pasricha
3   Department of Histopathology, Rajiv Gandhi Cancer Institute, Delhi, India
,
Shaifali Goel
4   Department of Surgical Oncology, Rajiv Gandhi Cancer Institute, Delhi, India
,
Gurudutt Gupta
3   Department of Histopathology, Rajiv Gandhi Cancer Institute, Delhi, India
,
Sunil Puri
1   Department of Radiology, Rajiv Gandhi Cancer Institute and Research Centre, Delhi, India
› Author Affiliations
Funding None.

Abstract

The ongoing pandemic of coronavirus disease 2019 (COVID-19) poses a diagnostic and management challenge to the clinician, which further gets heightened when patients present with abdominal complications in a cancer care center. The atypical manifestations of the disease provide a diagnostic conundrum to the radiologist and leave the pathologist in the perils of guiding further management to the clinician. Although previous literature shows gastrointestinal involvement in COVID-19, we present a case series of complicated subjects with clinical imaging as a pictorial essay and relevant pathology. The abdominal manifestations of COVID-19 are complicated in cancer patients where a variety of other differentials such as infiltration by metastatic disease and drug-related chemo toxicity effects must be taken into account, which may be ruled out by clinical workup, adequate imaging, and laboratory tests. This would help achieve better clinical acumen and modify management in these subjects.



Publication History

Article published online:
09 February 2022

© 2022. Indian Society of Gastrointestinal and Abdominal Radiology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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