Coincidental Respiratory Findings of COVID-19 on Abdominal CT in Patients with Predominant Abdominal Indications

Öz

Objective: Our aim in this study was to report the findings related to coronavirus disease (COVID-19) in abdominal Computed Tomography (CT) in patients presenting with abdominal symptoms. Methods: The study includes 40 adult patients (22-88 ages), who underwent abdominal CT from March-June 2020. Clinical findings, laboratory data and imaging findings were analyzed. All patients were confirmed by Revers-Transcriptase Polymerase Chain Reaction (RT-PCR). Results: This study included patients with abdominal pain, nausea, diarrhea, and anorexia but without respiratory symptoms consistent with COVID-19. Abdominal pain, was the most common indication for CT in these patients without clinical suspicion of COVID-19 (n = 31) and 32 patients had no extrapulmonary findings. Conclusion: When evaluating CT scans of patients with abdominal pain, attention to lung bases may reveal clinically unexpected diagnoses of COVID-19, which may lead to early diagnosis and treatment, as well as prevention of the disease spread.

Anahtar Kelimeler

• COVID-19
• extrapulmonary
• abdominal CT

Abdominal Endikasyonlar ile Elde Edilen BT Taramalarında COVID-19'a Ait Rastlantısal Respiratuar Bulgular

Öz

Amaç: Bu çalışmada amacımız abdominal semptomları olan hastalarda abdominal Bilgisayarlı Tomografi (BT)’de koronavirüs hastalığı (COVID-19) ile ilgili bulguları bildirmektir. Yöntem: Bu retrospektif çalışmaya Mart-Haziran 2020'den itibaren batın BT çekilen 40 erişkin hasta (22-88 yaş) dahil edildi. Klinik bulgular, laboratuvar verileri ve görüntüleme bulguları analiz edildi. Tüm hastalar Revers-Transkriptaz Polimeraz Zincir Reaksiyonu (RT-PCR) ile doğrulandı. Bulgular: Bu çalışma, karın ağrısı, mide bulantısı, ishal ve anoreksiyası olan, ancak COVID-19 ile uyumlu solunum semptomları olmayan hastaları içermekte idi. Karın ağrısı, klinik COVID-19 şüphesi olmayan bu hastalarda (n = 31) en sık BT endikasyonuydu ve 32 hastada ekstrapulmoner bulgu yoktu. Sonuç: Abdominal semptomlar ile başvuran hastalarda batın BT incelemelerini değerlendirirken akciğer bazallerine dikkat edilmesi klinik olarak şüphelenilmeyen olgularda COVID-19 tanısını sağlayarak gerek erken tanı ve tedavide gerekse hastalığın yayılımını önlemede yarar sağlayabilir

Anahtar Kelimeler

• COVID-19
• ekstrapulmoner
• abdominal BT

Kaynakça

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