Year 2020, Volume 4 , Issue 11, Pages 990 - 993 2020-11-01

Abdominal şikayetler ile başvuran hastalarda karın BT’de akciğer bazallerinde beklenmedik koronavirüs hastalığı (COVID-19) tutulumunun saptanması
Detection of unexpected coronavirus disease (COVID-19) involvement in lung bases on abdominal CT of patients presenting with abdominal symptoms

Esra ÖZGÜL [1] , Furkan KAYA [2] , Derya KORKMAZ [3]


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.
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.
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Primary Language en
Subjects Radiology, Nuclear Medicine, Medical Imaging
Journal Section Research article
Authors

Orcid: 0000-0002-6005-134X
Author: Esra ÖZGÜL (Primary Author)
Institution: Afyonkarahisar Health Sciences University Faculty of Medicine, Department of Radiology
Country: Turkey


Orcid: 0000-0001-8619-7593
Author: Furkan KAYA
Institution: Afyonkarahisar Health Sciences University Faculty of Medicine, Department of Radiology
Country: Turkey


Orcid: 0000-0001-7236-2164
Author: Derya KORKMAZ
Institution: Afyonkarahisar Health Sciences University Faculty of Medicine, Department of Clinical Microbiology and Infectious Diseases
Country: Turkey


Dates

Publication Date : November 1, 2020

Bibtex @research article { josam812873, journal = {Journal of Surgery and Medicine}, issn = {}, eissn = {2602-2079}, address = {jsurgmed@gmail.com}, publisher = {Fatih BAŞAK}, year = {2020}, volume = {4}, pages = {990 - 993}, doi = {10.28982/josam.812873}, title = {Detection of unexpected coronavirus disease (COVID-19) involvement in lung bases on abdominal CT of patients presenting with abdominal symptoms}, key = {cite}, author = {Özgül, Esra and Kaya, Furkan and Korkmaz, Derya} }
APA Özgül, E , Kaya, F , Korkmaz, D . (2020). Detection of unexpected coronavirus disease (COVID-19) involvement in lung bases on abdominal CT of patients presenting with abdominal symptoms . Journal of Surgery and Medicine , 4 (11) , 990-993 . DOI: 10.28982/josam.812873
MLA Özgül, E , Kaya, F , Korkmaz, D . "Detection of unexpected coronavirus disease (COVID-19) involvement in lung bases on abdominal CT of patients presenting with abdominal symptoms" . Journal of Surgery and Medicine 4 (2020 ): 990-993 <http://jsurgmed.com/en/pub/issue/57748/812873>
Chicago Özgül, E , Kaya, F , Korkmaz, D . "Detection of unexpected coronavirus disease (COVID-19) involvement in lung bases on abdominal CT of patients presenting with abdominal symptoms". Journal of Surgery and Medicine 4 (2020 ): 990-993
RIS TY - JOUR T1 - Detection of unexpected coronavirus disease (COVID-19) involvement in lung bases on abdominal CT of patients presenting with abdominal symptoms AU - Esra Özgül , Furkan Kaya , Derya Korkmaz Y1 - 2020 PY - 2020 N1 - doi: 10.28982/josam.812873 DO - 10.28982/josam.812873 T2 - Journal of Surgery and Medicine JF - Journal JO - JOR SP - 990 EP - 993 VL - 4 IS - 11 SN - -2602-2079 M3 - doi: 10.28982/josam.812873 UR - https://doi.org/10.28982/josam.812873 Y2 - 2020 ER -
EndNote %0 Journal of Surgery and Medicine Detection of unexpected coronavirus disease (COVID-19) involvement in lung bases on abdominal CT of patients presenting with abdominal symptoms %A Esra Özgül , Furkan Kaya , Derya Korkmaz %T Detection of unexpected coronavirus disease (COVID-19) involvement in lung bases on abdominal CT of patients presenting with abdominal symptoms %D 2020 %J Journal of Surgery and Medicine %P -2602-2079 %V 4 %N 11 %R doi: 10.28982/josam.812873 %U 10.28982/josam.812873
ISNAD Özgül, Esra , Kaya, Furkan , Korkmaz, Derya . "Detection of unexpected coronavirus disease (COVID-19) involvement in lung bases on abdominal CT of patients presenting with abdominal symptoms". Journal of Surgery and Medicine 4 / 11 (November 2020): 990-993 . https://doi.org/10.28982/josam.812873
AMA Özgül E , Kaya F , Korkmaz D . Detection of unexpected coronavirus disease (COVID-19) involvement in lung bases on abdominal CT of patients presenting with abdominal symptoms. J Surg Med. 2020; 4(11): 990-993.
Vancouver Özgül E , Kaya F , Korkmaz D . Detection of unexpected coronavirus disease (COVID-19) involvement in lung bases on abdominal CT of patients presenting with abdominal symptoms. Journal of Surgery and Medicine. 2020; 4(11): 990-993.
IEEE E. Özgül , F. Kaya and D. Korkmaz , "Detection of unexpected coronavirus disease (COVID-19) involvement in lung bases on abdominal CT of patients presenting with abdominal symptoms", Journal of Surgery and Medicine, vol. 4, no. 11, pp. 990-993, Nov. 2020, doi:10.28982/josam.812873