Abdominal pelvic CT findings compared between COVID-19 positive and COVID-19 negative patients in the emergency departme
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Abdominal pelvic CT findings compared between COVID‑19 positive and COVID‑19 negative patients in the emergency department setting Stacey A. Funt1 · Stuart L. Cohen2,3 · Jason J. Wang2,3 · Pina C. Sanelli2,3 · Matthew A. Barish1 Received: 2 July 2020 / Revised: 16 September 2020 / Accepted: 27 September 2020 © Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Purpose Manifestations of COVID-19 are primarily respiratory based, however, gastrointestinal symptoms are now recognized as an important component of the disease. The purpose of this study is to evaluate differences in abdominal pelvic CT findings in the emergency department by COVID-19 test result. Methods This retrospective study identified patients tested by PCR for COVID-19 infection who underwent abdominal pelvic CT scan in the ED across an academic health system from March 15 to April 15, 2020. Radiology reports were reviewed for the presence of ground glass opacity in the lungs and acute abdominal pathology. A subset of patients with acute abdominal pathology were identified with inflammatory pathology in organs with high ACE2 receptor expression including bowel, pancreas, urinary bladder, and kidney. CT findings for COVID positive versus negative patients were compared with Chisquare test. Results 597 patients tested by PCR for COVID-19 infection underwent abdominal pelvic CT scan, 44% were COVID-19 positive. COVID-19 positive patients demonstrated significantly more ground glass opacity at the lung bases, 65.1%, (222/341) versus 12.4% (33/266), p
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