key: cord-0965936-7x7r9myh
authors: Durmus, Emrullah; Ok, Fesih
title: Flank pain as a symptom of COVID-19
date: 2020-11-17
journal: Urology
DOI: 10.1016/j.urology.2020.11.007
sha: b84f0bd6a48ad18f863fbf89fb2285bea1ea75da
doc_id: 965936
cord_uid: 7x7r9myh

The COVID-19 disease is spreading rapidly worldwide, and no vaccine or very effective drug has been found yet. However, the transmission rate of the disease can be reduced by taking precautions. Therefore, it is essential to detect the patients early to prevent the spread of the disease (1)(,)(2). We report a case of 26 year old male patient who was admitted to our urology outpatient clinic with the complaint of flank pain and had incidental findings of COVID-19 in the lung bases on abdominal CT.

We would like to thank all healthcare professionals and hospital management who worked intensively during the pandemic process.

ED developed the idea for and designed the study and had full access to all data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis. ED and FO contributed to data acquisition, data analysis, or data interpretation, and reviewed and approved the final version.

There was no funding for this study.

The ethics committee of Siirt University approved the study and patient have signed informed consent for the analysis and publication of his informations.

The authors declare that they have no competing interests

The COVID-19 disease is spreading rapidly worldwide, and no vaccine or very effective drug has been found yet. However, the transmission rate of the disease can be reduced by taking precautions. Therefore, it is essential to detect the patients early to prevent the spread of the disease 1,2 . We report a case of 26 year old male patient who was admitted to our urology outpatient clinic with the complaint of flank pain and had incidental findings of COVID-19 in the lung bases on abdominal CT.

A 26-year-old male patient presented to the urology outpatient clinic with right flank pain.

There was no abnormality in the patient's vital signs. Physical examination was unremarkable. Urologic history was notable for ureteral stone managed with ureteroscopy two years prior.. The patient did not have any comorbidities. In laboratory tests, creatinine was 0.8 mg/dl. İn the urine analysis density 1025 , pH 6,0 and 1+ erythrocytes were observed. There was no pathology in renal ultrasound. Because of the history of stone surgery and the presence of erythrocytes in the urine analysis, non-contrast abdominal CT was performed. No urological pathology detected in abdominal CT (Figure 1,2) . When the abdominal CT of the patient was reevaluated using lung parenchyma window, with COVID-19, more pronounced peripheral areas and diffuse patchy ground glass densities in both lung lower lobes were observed, concerning for a diagnosis of COVID19. (Figure 3 ). 

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