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

被引：5

作者：

Abushamat, Farid ^{[1
]}

Dietrich, Christoph F. ^{[2
]}

Clevert, Dirk-Andre ^{[3
]}

Piscaglia, Fabio ^{[4
]}

Fetzer, David T. ^{[5
]}

Meloni, Maria Franca ^{[6
]}

Shiehmorteza, Masoud ^{[1
]}

Kono, Yuko ^{[1
]}

机构：

[1] Univ Calif San Diego, 200 W Arbor Dr MC 8413, San Diego, CA 92103 USA

[2] Clin Hirslanden Bern Beau Site, Bern, Switzerland

[3] Univ Munich, Grosshadern Campus, Munich, Germany

[4] IRCCS Azienda Osped Univ Bologna, Div Internal Med Hepatobiliary & Immunoallerg Dis, Bologna, Italy

[5] UT Southwestern Med Ctr, Dallas, TX USA

[6] Univ Milano Bicocca, Milan, Italy

来源：

JOURNAL OF ULTRASOUND IN MEDICINE | 2023年 / 42卷 / 01期

关键词：

CEUS; cirrhosis; bleeding; hemoperitoneum; HEPATOCELLULAR-CARCINOMA; CLINICAL-PRACTICE; ULTRASONOGRAPHY; TRAUMA; RECOMMENDATIONS; GUIDELINES; DIAGNOSIS; RUPTURE; ASCITES; LIVER;

D O I：

10.1002/jum.16002

中图分类号：

O42 [声学];

学科分类号：

070206 ; 082403 ;

摘要：

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.

引用

页码：247 / 253

页数：7

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