Abstract
Purpose: The novel coronavirus disease 2019 (COVID-19) has
spread all over the world. The diagnosis of COVID-19 in asymptomatic
patients and patients with non-respiratory symptoms remains a big
concern. In this study, 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.
Methods: We reviewed the files of patients who were admitted to
the urology outpatient clinic from 1 April to 1 November
retrospectively. We included the patients who performed abdominal CT at
the urology outpatient clinic for any reason and recorded demographic
data and abdominal CT findings. We excluded patients with pulmonary
symptoms and previously diagnosed with COVID-19. Also, patients without
abdominal CT were excluded. We evaluated the rates of missed diagnosed
COVID-19 pneumonia detection on the lung base images of abdominal CT.
Results: 1024 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.
Conclusion: COVID-19 disease has become a pandemic all over the
world. All healthcare professionals, including urologists, play an
active role in the diagnosis and treatment of this disease. So, 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: The novel coronavirus disease 2019, COVID-19,
computed tomography, urology.