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Abushamat, Farid; Dietrich, Christoph F.; Clevert, Dirk-Andre; Piscaglia, Fabio; Fetzer, David T.; Meloni, Maria Franca; Shiehmorteza, Masoud and Kono, Yuko (2022): Contrast-Enhanced Ultrasound (CEUS) in the Evaluation of Hemoperitoneum in Patients With Cirrhosis. In: Journal of Ultrasound in Medicine, Vol. 42, No. 1: pp. 247-253

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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.

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