Detection of unexpected coronavirus disease (COVID-19) involvement in lung bases on abdominal CT of patients presenting with abdominal symptoms

Year 2020, Volume: 4 Issue: 11, 990 - 993, 01.11.2020

Esra Özgül , Furkan Kaya , Derya Korkmaz

https://doi.org/10.28982/josam.812873

Abstract

Aim: Coronavirus disease 2019 (COVID-19) can present with nonspecific abdominal symptoms. The aim of this study is to emphasize the importance of detecting lung basis involvement on abdominal computed tomography (CT) in patients hospitalized with abdominal complaints without known COVID-19 disease.
Methods: CT images of 250 patients who underwent abdominopelvic CT scan due to various abdominal complaints were retrospectively evaluated. Inclusion criteria included patients presenting with primary abdominal complaints without respiratory symptoms, who had suspicious COVID-19 CT findings on lung basis. COVID-19 was not among the differential diagnoses of these patients at the time of admission.
Results: Among 240 patients, twelve (8 females, 4 males, aged 30-69 years) had suspicious findings of COVID-19 on lung bases. Presenting complaints were abdominal pain (n=7), lack of appetite (n=5), diarrhea (n=7), vomiting (n=3), nausea (n=4) and gastric pain (n=1). Lung base CT findings included ground-glass opacities (100%), which were peribronchovascular (66.6%), bilateral (91.6%), peripheral (91.6%), or multifocal (58.3%). Cases were confirmed with laboratory testing.
Conclusion: Considering that some patients present with nonspecific abdominal complaints, identifying the characteristic signs of COVID-19 incidentally in the visualized part of the lung basis on abdominal CT is important for early diagnosis, the protection of health professionals, and in reducing the spread of disease.

Keywords

Abdominal CT, Coronavirus, lung bases, COVID-19, SARS-CoV-2

Abdominal şikayetler ile başvuran hastalarda karın BT’de akciğer bazallerinde beklenmedik koronavirüs hastalığı (COVID-19) tutulumunun saptanması

Abstract

Amaç: Koronavirüs hastalığı 2019 (COVID-19), spesifik olmayan karın şikayetleri ile karşımıza çıkabilir. Bu çalışmanın amacı, abdominal yakınmalarla başvuran hastalarda akciğer bazallerindeki bulgulara bakarak COVID-19 tanısı koymada abdomen BT’nin önemini vurgulamaktır.
Yöntemler: Çeşitli abdominal şikayetler nedeniyle abdominopelvik BT taraması yapılan 250 hastanın görüntüleri geriye dönük olarak değerlendirildi. Dahil etme kriterleri, başlangıçta solunum şikayetleri olmaksızın abdominal yakınma ile başvuran, akciğer bazallerinde COVID-19 şüpheli BT bulguları olan, ancak başvuru anında COVID-19 ön tanısı olmayan hastaları içerir.
Bulgular: 240 hastadan 12'sinde (8K, 4M; 30-69 yaş) akciğer bazallerinde şüpheli COVID-19 bulguları vardı. Başvuru şikayetleri iştahsızlık (n=5), karın ağrısı (n=7), ishal (n=7), bulantı (n=4), kusma (n=3) ve mide ağrısı (n=1) idi. Akciğer bazalleri tutulumunun dağılımı peribronkovasküler (%66,6), bilateral (%91,6), periferik (%91,6) veya multifokal (%58,3) olan buzlu cam opasiteleri (%100) idi. Vakalar laboratuvar testleri ile doğrulandı.
Sonuç: Bazı hastaların nonspesifik karın şikayetleri ile başvurduğu düşünülürse; abdominal BT'de akciğer bazallerinin tetkike dahil kısımlarında COVID-19' un tipik belirtilerini tespit etmek, zamanında tanı koymak, sağlık çalışanlarını korumak ve hastalığın yayılmasını azaltmak açısından çok önemlidir.

Keywords

Koronavirüs, Akciğer bazalleri, Abdomen BT, COVID-19, SARS-CoV-2

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