South Clin Ist Euras. 2023; 34(2): 152-157 | DOI: 10.14744/scie.2022.67209

Incidence of COVID-19 Pneumonia on Abdominal Computed Tomography Images of Patients Applied to the Urology Outpatient Clinic

Mehmet Serkan Özkent¹, Burak Yýlmaz¹, Mustafa Bilal Hamarat¹, Esma Eroðlu², Bekir Turgut^3
1Department of Urology, Konya City Hospital, Health Sciences University, Konya, Türkiye
²Department of Infectious Diseases And Clinical Microbiology, Meram State Hospital, Konya, Türkiye
³Department of Radiology, School of Meram Medicine, Necmettin Erbakan University, Konya, Türkiye

INTRODUCTION: The novel coronavirus disease 2019 (COVID-19) has spread all over the world from the first case. Although some criteria used in diagnosis, the diagnosis of COVID-19 in asymptomatic patients and patients with non-respiratory symptoms remains a big con-cern. The patients with COVID-19 could apply to the hospital with non-specific symptoms. Therefore, we aimed to evaluate the incidence of missed diagnosed COVID-19 pneumonia on abdominal computed tomography (CT) performed in patients admitted to our urology outpatient clinic in this study.
METHODS: The files of patients admitted to the urology outpatient clinic were evaluated retrospectively from April 1 to November 1, 2020. The patients with pulmonary symptoms and previously diagnosed with COVID-19 were excluded from the study. The patients who underwent abdominal CT at the urology outpatient clinic for any reason were included in this study. The demographic data and CT findings of these patients were recorded. The rates of missed diagnosed COVID-19 pneumonia detection on the lung base images of abdominal CT were evaluated. In addition, the patients without abdominal CT were excluded from this study.
RESULTS: One thousand and twenty-four patients were included in this study. We observed that 99 (9.7%) of these patients had findings related to COVID-19 pneumonia on the lung base images of abdominal CT. Although 885 (86.4%) patients had no pathological pulmonary findings, 40 (3.9%) patients had other pathological pulmonary findings.
DISCUSSION AND CONCLUSION: COVID-19 disease has become a pandemic worldwide and continues to exist as a significant problem. All health-care professionals, including urologists, play an active role in the diagnosing and treating this disease. Therefore, it should be kept in mind that COVID-19 pneumonia should be evaluated in patients admitted to the urology outpatient clinic with renal colic or abdominal pain.

Keywords: Computed tomography, COVID-19; pneumonia; urology

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Üroloji Polikliniðine Baþvuran Hastalarýn Abdominal Bilgisayarlý Tomografi Görüntülerinde COVID-19 Pnömoni Ýnsidansý

Mehmet Serkan Özkent¹, Burak Yýlmaz¹, Mustafa Bilal Hamarat¹, Esma Eroðlu², Bekir Turgut^3
1Saðlýk Bilimleri Üniversitesi Konya Þehir Hastanesi Üroloji Kliniði, Konya, Türkiye
²Meram Devlet Hastanesi Enfeksiyon Hastalýklarý Ve Klinik Mikrobiyoloji, Konya, Türkiye
³Necmettin Erbakan Üniversitesi Meram Týp Fakültesi, Konya, Türkiye

GÝRÝÞ ve AMAÇ: COVID-19 ilk görüldüðü andan itibaren yayýlarak tüm dünyayý etkisi altýna aldý. Taný ile ilgili tanýmlanmýþ çeþitli kriterler olsa da asemptomatik hastalar ve solunumla ilgili semptomlarý olmayan hastalarda COVID-19 tanýsý büyük bir endiþe kaynaðý olmaya devam etmektedir. Bu hastalar spesifik olmayan semptomlarla hastaneye baþvurabilmektedir. Bu nedenle bu çalýþmada, üroloji polikliniðimize baþvuran pulmoner semptomlarý olmayan hastalarda çekilen abdominal bilgisayarlý tomografilerde (BT) izlenen COVID-19 pnömoni bulgularýný deðerlendirmeyi amaçladýk.
YÖNTEM ve GEREÇLER: 1 Nisan 2020 – 1 Kasým 2020 tarihleri arasýnda üroloji polikliniðine baþvuran hastalarýn dosyalarý geriye dönük olarak in-celendi. Pulmoner semptomlarý olan ve daha önce COVID-19 tanýsý almýþ hastalar çalýþma dýþýnda býrakýldý. Üroloji polikliniðinde herhangi bir nedenle abdominal BT yapýlan hastalar çalýþmaya dahil edildi. Bu hastalarýn demografik verileri ve BT bulgularý kaydedildi. Abdominal BT’nin akciðer taban görüntülerinde COVID-19 pnömoni bulgularý araþtýrýldý. Ek olarak abdominal BT’si olmayan hastalar çalýþma dýþýnda býrakýldý.
BULGULAR: Bu çalýþmaya 1024 hasta dahil edildi. Bu hastalarýn 99’unun (%9.7) abdominal BT akciðer taban görüntülerinde COVID-19 pnömonisi ile ilgili bulgulara sahip olduðunu gözlemledik. Hastalarýn 885’inde (%86.4) patolojik pulmoner bulgu bulunmazken, 40’unda (3.9%) baþka patolojik pulmoner bulgular vardý.
TARTIÞMA ve SONUÇ: COVID-19 hastalýðý tüm dünyada bir pandemi haline gelmiþ ve önemli bir sorun olarak varlýðýný sürdürmektedir. Ürologlar dahil tüm saðlýk profesyonelleri bu hastalýðýn taný ve tedavisinde aktif rol oynamaktadýr. Bu nedenle üroloji polikliniðine renal kolik veya karýn aðrýsý þikayeti ile baþvuran hastalarda COVID-19 pnömonisinin deðerlendirilmesi gerektiði akýlda tutulmalýdýr.

Anahtar Kelimeler: Bilgisayarlý tomografi, COVID-19; pnömoni; üroloji.

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