ABDOMİNAL ENDİKASYONLAR İLE ELDE EDİLEN BT TARAMALARINDA COVID-19'A AİT RASTLANTISAL RESPİRATUAR BULGULAR

Amaç: Bu çalışmada amacımız abdominal semptomları olan hastalarda abdominal Bilgisayarlı Tomografi (BT)’de koronavirüs hastalığı (COVID19) 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 hastalarıiçermekte idi. Karın ağrısı, klinik COVID-19 şüphesi olmayan bu hastalarda (n = 31) en sık BT endikasyonuydu ve 32 hastada ekstrapulmoner bulguyoktu.Sonuç: Abdominal semptomlar ile başvuran hastalarda batın BT incelemelerini değerlendirirken akciğer bazallerine dikkat edilmesi klinik olarakşüphelenilmeyen olgularda COVID-19 tanısını sağlayarak gerek erken tanı ve tedavide gerekse hastalığın yayılımını önlemede yarar sağlayabilir.

OINCIDENTAL RESPIRATORY FINDINGS OF COVID-19 ON ABDOMINAL CT IN PATIENTS WITH PREDOMINANT ABDOMINAL INDICATIONS

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 COVID19. 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.

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