Lung-Base Findings in Covid-19 Positive Patients Presenting with Abdominal Pain

The COVID-19 pandemic has altered the traditional work patterns in medical facilities. Unfortunately, these patients may present with atypical abdominal symptoms which cause them to be stratified as low risk and not be provided PPE. We present a series of 9 patients who presented to the emergency room or outpatient center with various abdominal findings but lacked typical pulmonary findings to trigger the provider to suspect Covid-19. All patients were found to have pathological findings in their lung bases on abdomen and pelvis CT. The findings consisted of peripheral ovoid ground glass opacities, diffused ground glass opacities, small bilateral pleural effusions, and bibasilar consolidations. All patients were eventually diagnosed as Covid-19 positive. Since Covid-19 patients can present with isolated abdominal findings, all patients with such symptoms presenting to the emergency room should be likely treated as potentially COVID-19 positive in the present pandemic. PPE should always be provided to the patients and staff to reduce further unnecessary exposure. Summary Sentence - Since Covid-19 patients can present with isolated abdominal findings, all patients with such symptoms presenting to the emergency room should be likely treated as potential PUI in the present pandemic and PPE should be provided.