Karın ağrısı COVID-19'un tek şikayeti olabilir; olgu sunumu ve güncel literatürün gözden geçirilmesi

Year 2021, Volume: 6 Issue: 2, 57 - 60, 01.08.2021

Ayşin Kılınç Toker , İlhami Çelik , Abdullah Gür , İbrahim Toker

Abstract

Amaç: Yeni koronavirüs dünya çapında hızla yayılmış ve uluslararası bir pandemiye neden olmuştur. Ateş, öksürük ve nefes darlığı COVID-19'un (koronavirüs hastalığı 2019) karakteristik belirtileri olarak kabul edilmektedir. Gastrointestinal semptomlar daha az görülmesine rağmen, büyük ölçüde göz ardı edilen semptomlar arasındadır. Bu olgu sunumunda acil servise sadece karın ağrısı ile başvuran bir erkek hastayı sunmayı amaçladık.
Olgu sunumu: 70 yaşında erkek hasta, dört gündür olan karın ağrısı şikayeti ile acil servise başvurdu. Hastanın karın ağrısı göbek çevresinde ve kolik vasıflı idi. Batın muayenesinde göbek çevresinde yaygın hassasiyet olan hastanın defans veya ribaundu yoktu. Hastanın abdominal BT’si (bilgisayarlı tomografi) normal olarak değerlendirildi. Ancak abdominal BT'de, akciğer bazalinde COVID-19 için tipik BT bulguları mevcuttu. Yatış sırasındaki ilk RT-PCR (gerçek zamanlı ters transkripsiyon polimeraz zincir reaksiyonu) testi negatif olan hastanın 48 saat sonraki testi pozitifti.
Sonuç: Çalışmamız, hekimlerinin COVID-19'un atipik prezentasyonları konusunda tetikte olması gerektiğini vurgulamaktadır.

Keywords

COVID19, abdominal ağrı, gastrointestinal, atipik prezentasyon

Abdominal pain may be the only complaint of COVID-19; case report and review of the current literature

Abstract

Aim: The new coronavirus spread rapidly around the world, causing an international emergency pandemic. Fever, dry cough, and shortness of breath are considered the characteristic signs of COVID-19 (coronavirus disease 2019). Although gastrointestinal symptoms are less common, they are among the symptoms of COVID-19 that are largely ignored. In this case report, we aimed to present a male patient who applied to the emergency department with only abdominal pain.
Case report: A 70-year-old male patient was admitted to the emergency department with a complaint of abdominal pain four days prior. The patient had abdominal pain that had been around the umbilicus and colic for the previous four days. Abdominal examination showed widespread tenderness around the umbilicus but no defences or rebounds. The abdominal CT (computed tomography) results were considered normal. But on the abdominal CT, there were typical CT findings on the lung base for COVID-19. The RT-PCR (real-time reverse transcription-polymerase chain reaction) tests at admission and 48 hours later were negative and positive, respectively.
Conclusion: Our study emphasizes that physicians should be alert to atypical presentations of COVID-19.

Keywords

COVID19, Abdominal Pain, gastrointestinal, atypical presentation

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