Title: Flank Pain Could be a COVID-19 Messenger !
Aim: We aimed to present the patients who had COVID-19
infiltrations incidentally detected in the lung basal sections in
patients with abdomen CT due to flank pain in the urology outpatient
clinic during the pandemic process.
Methods : A total of 276 patients admitted to the Siirt Training
and Research Hospital Urology outpatient clinic between March 15, 2020,
and August 09, 2020, with a complaint of flank pain and underwent
non-contrast abdomen CT were analyzed from this data retrospectively. A
total of 10 patients with Covid-19 compatible findings in CT were
determined as the study group. A control group was formed from 10
patients with only urological pathologies (kidney stones, ureteral
stones, hydronephrosis … etc) without Covid-19 compatible appearance
on CT.
Results: Ten (3.6%) patients with COVID-19 disease pneumonic
infiltrations were detected in the lung basal regions entering the
abdomen CT cross-section. The visual analog scale (VAS) score was higher
in the control group, who had urological pathology and did not have
Covid-19 findings in the lung bases in abdominal CT, and it was
statistically significant. During the admission to the urology
outpatient clinic, there were no signs of COVID-19 disease such as
fever, cough, and shortness of breath.
Conclusion: If the severity of pain is not very high in
patients who apply to urology outpatient clinics with flank pain during
the pandemic period, and if no urological pathology is observed in the
Abdomen CT, Covid-19 should be kept in mind in the differential
diagnosis.
Key words: COVID-19, urology, flank pain, Abdomen CT