COVID-19 ENFEKSİYONUNDA ABDOMİNAL RADYOLOJİK GÖRÜNTÜLEME

Abstract

Koronavirüs hastalığı 2019 (COVID-19), şiddetli akut solunum sendromu koronavirüs 2'nin (SARS-CoV-2) neden olduğu viral bir enfeksiyondur. Ancak yaygın mikrotromboemboliler ve immün kompleks vasküliti tarzında davranış göstermekte ve tüm sistemleri etkilemektedir. Genellikle ateş, halsizlik, yorgunluk, öksürük ve miyalji gibi akut solunum yolu enfeksiyon semptomları yada, bulantı kusma, karın ağrısı, iştahsızlık ve diare gibi gastrointestinal semptomlar ile prezente olur. Hastalık çok büyük oranda erişkilerde görülmekle beraber, multisistemik inflamatuar sendrom (MİS-C) olarak tanımlanan pediatrik formları da tanımlanmıştır. Klinik olarak akciğer tutulumunun ön planda olması nedeniyle, abdominal tutuluma ait radyolojik bulgular daha az bilinmektedir. Abdominal tutulum gösteren vakalarda klinik seyir daha ciddi olmakla beraber, etkin tedavi ile başarılı sonuçlar alınmaktadır. Bu nedenle Covid-19’da abdominal tutulumun radyolojik görünümlerinin bilinmesi, erken tanı ve doğru tedavi yaklaşımı açısından son derece önemlidir.

Keywords

• Covid-19
• abdomen
• gastrointestinal sistem
• radyoloji

ABDOMINAL IMAGING IN COVID-19 INFECTION

Abstract

Coronavirus disease 2019 (COVID-19) is a viral infection caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). However, it behaves like diffuse microthromboembolism and immune complex vasculitis and affects all systems. It usually presents with acute respiratory tract infection symptoms such as fever, weakness, fatigue, cough and myalgia, or gastrointestinal symptoms such as nausea, vomiting, abdominal pain, anorexia and diarrhea. Although the disease is mostly seen in adults, pediatric forms defined as multisystemic inflammatory syndrome (MIS-C) have also been described. Radiological findings of abdominal involvement are less known due to the clinical predominance of lung involvement. Although the clinical course is more serious in cases with abdominal involvement, successful results are obtained with effective treatment. Therefore, knowing the radiological aspects of abdominal involvement in Covid-19 is extremely important in terms of early diagnosis and correct treatment approach.

Keywords

• Covid-19
• abdomen
• Gastrointestinal Tract
• Radiology

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