Abstract
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.