Abdominal symptoms as initial manifestation of COVID-19: a case series
ABSTRACT The COVID-19 became a pandemic in early 2020. It was found, at first, that the main manifestations of this new virus occur through respiratory and constitutional symptoms. Therefore, chest tomography was elected as the best imaging test to assess the extent of pulmonary involvement and as a...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Instituto Israelita de Ensino e Pesquisa Albert Einstein
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| Series: | Einstein (São Paulo) |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082020000100511&tlng=pt |
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| author | Lucas Tadashi Wada Amaral Vanessa Mizubuti Brito Gabriel Laverdi Beraldo Eduardo Kaiser Ururahy Nunes Fonseca Patrícia Yokoo Aley Talans Marcelo Oranges Filho Rodrigo Caruso Chate Ronaldo Hueb Baroni Gilberto Szarf |
| author_facet | Lucas Tadashi Wada Amaral Vanessa Mizubuti Brito Gabriel Laverdi Beraldo Eduardo Kaiser Ururahy Nunes Fonseca Patrícia Yokoo Aley Talans Marcelo Oranges Filho Rodrigo Caruso Chate Ronaldo Hueb Baroni Gilberto Szarf |
| author_sort | Lucas Tadashi Wada Amaral |
| collection | DOAJ |
| description | ABSTRACT The COVID-19 became a pandemic in early 2020. It was found, at first, that the main manifestations of this new virus occur through respiratory and constitutional symptoms. Therefore, chest tomography was elected as the best imaging test to assess the extent of pulmonary involvement and as a good prognostic predictor for the disease. However, as new studies were produced, the gastrointestinal involvement of COVID-19 becomes more evident, with reports from patients who manifested mainly or only gastrointestinal symptoms in the course of the disease. Thus, in some cases, the initial investigation is carried out at the emergency department with an abdominal computed tomography. We report a case series of ten patients who came to the emergency department of our institution with a chief gastrointestinal complaint, and were initially submitted to an abdominal computed tomography as the first investigation. Although most of the patients did not have significant changes in the abdominal images, most reported patients had pulmonary findings visualized at the lung bases, which were later designated as typical COVID-19 pulmonary findings on chest computed tomography. Only one patient had atypical COVID-19 lung changes on chest computed tomography. All patients had a positive real-time polymerase chain reaction for COVID-19. It is imperative to alert radiologists, especially abdominal radiologists, with the possibility of COVID-19 isolated gastrointestinal symptoms. Besides, it must become a habit to radiologists to assess the pulmonary basis on abdominal scans, a site commonly affected by the new coronavirus. |
| first_indexed | 2024-12-22T22:09:25Z |
| format | Article |
| id | doaj.art-939ee13e287d4f1a865b5fefed12fc75 |
| institution | Directory Open Access Journal |
| issn | 2317-6385 |
| language | English |
| last_indexed | 2024-12-22T22:09:25Z |
| publisher | Instituto Israelita de Ensino e Pesquisa Albert Einstein |
| record_format | Article |
| series | Einstein (São Paulo) |
| spelling | doaj.art-939ee13e287d4f1a865b5fefed12fc752022-12-21T18:10:55ZengInstituto Israelita de Ensino e Pesquisa Albert EinsteinEinstein (São Paulo)2317-638510.31744/einstein_journal/2020rc5831Abdominal symptoms as initial manifestation of COVID-19: a case seriesLucas Tadashi Wada AmaralVanessa Mizubuti BritoGabriel Laverdi BeraldoEduardo Kaiser Ururahy Nunes FonsecaPatrícia YokooAley TalansMarcelo Oranges FilhoRodrigo Caruso ChateRonaldo Hueb BaroniGilberto SzarfABSTRACT The COVID-19 became a pandemic in early 2020. It was found, at first, that the main manifestations of this new virus occur through respiratory and constitutional symptoms. Therefore, chest tomography was elected as the best imaging test to assess the extent of pulmonary involvement and as a good prognostic predictor for the disease. However, as new studies were produced, the gastrointestinal involvement of COVID-19 becomes more evident, with reports from patients who manifested mainly or only gastrointestinal symptoms in the course of the disease. Thus, in some cases, the initial investigation is carried out at the emergency department with an abdominal computed tomography. We report a case series of ten patients who came to the emergency department of our institution with a chief gastrointestinal complaint, and were initially submitted to an abdominal computed tomography as the first investigation. Although most of the patients did not have significant changes in the abdominal images, most reported patients had pulmonary findings visualized at the lung bases, which were later designated as typical COVID-19 pulmonary findings on chest computed tomography. Only one patient had atypical COVID-19 lung changes on chest computed tomography. All patients had a positive real-time polymerase chain reaction for COVID-19. It is imperative to alert radiologists, especially abdominal radiologists, with the possibility of COVID-19 isolated gastrointestinal symptoms. Besides, it must become a habit to radiologists to assess the pulmonary basis on abdominal scans, a site commonly affected by the new coronavirus.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082020000100511&tlng=ptCOVID-19Coronavirus infectionsComputed tomography, X-ray computedThorax/diagnostic imagingGastrointestinal diseases/diagnostic imagingAbdomen/diagnostic imaging |
| spellingShingle | Lucas Tadashi Wada Amaral Vanessa Mizubuti Brito Gabriel Laverdi Beraldo Eduardo Kaiser Ururahy Nunes Fonseca Patrícia Yokoo Aley Talans Marcelo Oranges Filho Rodrigo Caruso Chate Ronaldo Hueb Baroni Gilberto Szarf Abdominal symptoms as initial manifestation of COVID-19: a case series Einstein (São Paulo) COVID-19 Coronavirus infections Computed tomography, X-ray computed Thorax/diagnostic imaging Gastrointestinal diseases/diagnostic imaging Abdomen/diagnostic imaging |
| title | Abdominal symptoms as initial manifestation of COVID-19: a case series |
| title_full | Abdominal symptoms as initial manifestation of COVID-19: a case series |
| title_fullStr | Abdominal symptoms as initial manifestation of COVID-19: a case series |
| title_full_unstemmed | Abdominal symptoms as initial manifestation of COVID-19: a case series |
| title_short | Abdominal symptoms as initial manifestation of COVID-19: a case series |
| title_sort | abdominal symptoms as initial manifestation of covid 19 a case series |
| topic | COVID-19 Coronavirus infections Computed tomography, X-ray computed Thorax/diagnostic imaging Gastrointestinal diseases/diagnostic imaging Abdomen/diagnostic imaging |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082020000100511&tlng=pt |
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