Subject(s)
Abdominal Pain/diagnostic imaging , ChAdOx1 nCoV-19/adverse effects , Thrombocytopenia/chemically induced , Thrombocytopenia/diagnostic imaging , Venous Thrombosis/chemically induced , Venous Thrombosis/diagnostic imaging , Abdominal Pain/chemically induced , Adult , Endoscopy, Digestive System , Female , Humans , Portal System , Thrombocytopenia/therapy , Venous Thrombosis/therapyABSTRACT
The aim of this study was to evaluate the admission chest and abdominal computed tomography (CT) findings of patients who presented to the emergency department with complaints of abdominal pain, fever, and shortness of breath and who had RT-PCR-confirmed COVID-19 infection. Seventy-five patients with RT-PCR-confirmed (in laboratory) COVID-19 infection who underwent chest and abdominal CT were included in the study. The radiological scales [the COVID-19 Reporting and Data System (CO-RADS) and severity score] of the chest and abdominal findings were examined on CT images. Forty-one (54.7%) patients were male and 34 (45.3%) were female. The mean age of the patients was 63.03 (range 24-89) years. The most frequently calculated CO-RADS score was found to be 5 (n = 53, 70.7%). Bilateral (72.0%) and multibolar (74.7%) involvement, peripheral (72.0%) and posterior (60.0%) distribution, and ground-glass opacity (66.7%) pattern were the most common pulmonary findings. A positive correlation was observed between CO-RADS and total severty score (p < 0.001). All patients were hospitalized. One (1.3%) patient was surgically treated because of acute appendicitis. Nine (12.0%) patients were admitted to the intensive care unit. Six (8.0%) patients died in the intensive care unit. Patients presenting to the emergency department with both abdominal and respiratory complaints during the pandemic should be evaluated for COVID-19. Patients can be diagnosed early with the data collected from CT without waiting for the PCR result. Hospital staff can take the necessary protective measures against virus transmission early, minimizing the in-hospital transmission of the virus.
Subject(s)
COVID-19 , Abdominal Pain/diagnostic imaging , Abdominal Pain/epidemiology , Abdominal Pain/virology , Adult , Aged , Aged, 80 and over , COVID-19/diagnosis , COVID-19/therapy , Dyspnea/epidemiology , Dyspnea/virology , Female , Humans , Male , Middle Aged , Pandemics , Young AdultABSTRACT
OBJECTIVE. This series of patients presented to the emergency department (ED) with abdominal pain, without the respiratory symptoms typical of coronavirus disease (COVID-19), and the abdominal radiologist was the first to suggest COVID-19 infection because of findings in the lung bases on CT of the abdomen. CONCLUSION. COVID-19 infection can present primarily with abdominal symptoms, and the abdominal radiologist must suggest the diagnosis when evaluating the lung bases for typical findings.
Subject(s)
Abdominal Pain/diagnostic imaging , Abdominal Pain/virology , Betacoronavirus , Coronavirus Infections/complications , Coronavirus Infections/diagnostic imaging , Lung/diagnostic imaging , Pneumonia, Viral/complications , Pneumonia, Viral/diagnostic imaging , Adult , COVID-19 , Humans , Lung/pathology , Male , Middle Aged , Pandemics , SARS-CoV-2 , Tomography, X-Ray ComputedSubject(s)
Listeria monocytogenes/isolation & purification , Listeriosis/diagnosis , Pregnancy Complications, Infectious/diagnosis , Abdomen/diagnostic imaging , Abdominal Pain/diagnostic imaging , Abdominal Pain/etiology , Abortion, Missed/etiology , Adult , Diagnosis, Differential , Female , Fetal Death/etiology , Fever/etiology , Headache/etiology , Humans , Listeriosis/complications , Magnetic Resonance Imaging , Nausea/etiology , Placenta/pathology , Pregnancy , Ultrasonography, Doppler, ColorABSTRACT
The COVID-19 became a pandemic in early 2020. It was found, at first, that the main manifestations of this new virus occur through respiratory and constitutional symptoms. Therefore, chest tomography was elected as the best imaging test to assess the extent of pulmonary involvement and as a good prognostic predictor for the disease. However, as new studies were produced, the gastrointestinal involvement of COVID-19 becomes more evident, with reports from patients who manifested mainly or only gastrointestinal symptoms in the course of the disease. Thus, in some cases, the initial investigation is carried out at the emergency department with an abdominal computed tomography. We report a case series of ten patients who came to the emergency department of our institution with a chief gastrointestinal complaint, and were initially submitted to an abdominal computed tomography as the first investigation. Although most of the patients did not have significant changes in the abdominal images, most reported patients had pulmonary findings visualized at the lung bases, which were later designated as typical COVID-19 pulmonary findings on chest computed tomography. Only one patient had atypical COVID-19 lung changes on chest computed tomography. All patients had a positive real-time polymerase chain reaction for COVID-19. It is imperative to alert radiologists, especially abdominal radiologists, with the possibility of COVID-19 isolated gastrointestinal symptoms. Besides, it must become a habit to radiologists to assess the pulmonary basis on abdominal scans, a site commonly affected by the new coronavirus.
Subject(s)
Abdominal Pain/diagnostic imaging , Coronavirus Infections/diagnosis , Coronavirus/isolation & purification , Lung/diagnostic imaging , Pneumonia, Viral/diagnosis , Tomography, X-Ray Computed/methods , Abdominal Pain/etiology , Betacoronavirus , COVID-19 , COVID-19 Testing , Clinical Laboratory Techniques , Coronavirus/genetics , Humans , Pandemics , Real-Time Polymerase Chain Reaction , SARS-CoV-2ABSTRACT
OBJECTIVE. The purpose of this study is to report unanticipated lung base findings on abdominal CT in 23 patients concerning for coronavirus disease (COVID-19). In these patients, who were not previously suspected of having COVID-19, abdominal pain was the most common indication for CT (n = 19), and 11 patients had no extrapulmonary findings. Seventeen patients underwent polymerase chain reaction testing, which returned positive results for all 17. CONCLUSION. Unsuspected coronavirus disease may be strongly suggested on the basis of lung findings on abdominopelvic CT.