From the Department of Radiology (Al Mousa); College of Medicine; King Faisal University, and from the Department of Medical Imaging (Ashraf, Abdelrahman); King Abdulaziz National Guard Hospital, Al-Ahsa, Kingdom of Saudi Arabia.
Saudi Med J. 2022 Mar;43(3):307-312. doi: 10.15537/smj.2022.43.3.20210731.
An outbreak of novel coronavirus disease-2019 (COVID-19) was reported in Wuhan, China, in December 2019, which was later declared a global pandemic by the World Health Organization (WHO) in March 2020. It is a life-threatening contagious infection with infected patients usually presenting with respiratory tract symptoms, although the disease can affect other multiple organs. Coronavirus disease-2019 infection is a hypercoagulable state associated with serious thrombotic complications, particularly in critically ill patients. However, these thrombotic complications are also being reported as a presenting symptom in asymptomatic and mildly symptomatic cases of COVID-19 infection in the absence of any other predisposing risk factors. Renal infarction is one of these thrombotic complications and can present with ambiguous abdominal symptoms leading to irreversible organ damage and other thromboembolic complications, if not diagnosed in time. Physicians must be aware of such uncommon presenting complaints of COVID-19 infection and include it in the differential diagnosis of patients presenting with abdominal symptoms.
2019 年 12 月，中国武汉报告了一种新型冠状病毒疾病（COVID-19）的爆发，世界卫生组织（WHO）于 2020 年 3 月宣布该疾病为全球大流行。这是一种危及生命的传染性感染，受感染的患者通常表现出呼吸道症状，尽管该疾病可能影响其他多个器官。冠状病毒病 2019 感染是一种高凝状态，与严重的血栓并发症相关，特别是在重症患者中。然而，这些血栓并发症也被报道为无症状和轻度症状 COVID-19 感染患者的首发症状，而不存在任何其他易患风险因素。肾梗死是其中一种血栓并发症，如果不及时诊断，可能会出现不明确的腹部症状，导致不可逆转的器官损伤和其他血栓栓塞并发症。医生必须意识到 COVID-19 感染的这些罕见首发症状，并将其纳入出现腹部症状的患者的鉴别诊断中。
