COVID-19 pneumonia identified by CT of the abdomen: A report of three emergency patients presenting with abdominal pain
| Autor: | Abdalla Khalil, Ahmed Salem, Nashaat S. Hamza, Sherif Abolyazid, Shireen Alshareef, Nouf Abdullah |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
lcsh:Medical physics. Medical radiology. Nuclear medicine
Abdominal pain medicine.medical_specialty Urinary system lcsh:R895-920 COVID-19 Polymerase chain reaction testing Article 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Sensitivity of CT in COVID-19 patients' detection medicine Radiology Nuclear Medicine and imaging COVID-19 pneumonia Respiratory system CT abdomen in COVID-19 patients COVID-19 gastrointestinal symptoms Lung business.industry Emergency department medicine.disease Pneumonia medicine.anatomical_structure Radiology Nuclear Medicine and imaging Abdomen Radiology medicine.symptom Pancreas business 030217 neurology & neurosurgery |
| Zdroj: | Radiology Case Reports, Vol 15, Iss 11, Pp 2090-2094 (2020) Radiology Case Reports |
| ISSN: | 1930-0433 |
| Popis: | Patients with COVID-19 infection may present to the Emergency Department (ED) with gastrointestinal complaints and no respiratory symptoms. We are presenting 3 patients who came to the ED with abdominal pain; and the computed tomography [CT] of the abdomen showed findings suggestive of COVID-19 pneumonia. A 65-year-old male patient presented with symptoms of urinary tract infection and left renal angle tenderness. A 42-year-old male patient presented with right flank pain postextracorporeal shock wave lithotripsy. A 71-year-old male known to have type 2 diabetes mellitus and who had had whipple surgery for a neoplasm of the head of the pancreas presented with a painful epigasteric swelling. The 3 patients had positive COVID-19 polymerase chain reaction (PCR) tests and mild-to-moderate illness, and were discharged home after 2 weeks with a good recovery. The first patient had a false negative early PCR test, which turned positive on 2 repetitions of the test. A systematic review of CT abdomen, including inspection of the lung bases using the lung window in all CT abdomen, is essential to detect findings suggestive of COVID-19 pneumonia in patients requiring a CT abdomen study. As proven in the literature, CT findings of COVID-19 pneumonia have a higher sensitivity than the PCR test. |
| Databáze: | OpenAIRE |
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