title: The evaluation of abdominal findings in Crimean-Congo hemorrhagic fever.
abstract: OBJECTIVE
  Crimean-Congo hemorrhagic fever (CCHF) is a widely seen, fatal disease and is endemic to some countries. It affects many organs in the abdomen. Comprehensive radiological study of CCHF is quite rare. This study will use multiple detector computed tomography (MDCT) to investigate if there is a relationship between clinical laboratory measurements and abdominal findings in CCHF and discuss our findings in the light of the literature.
  
  
  METHODS
  We retrospectively evaluated the medical records of 443 patients diagnosed with CCHF in our hospital between April 1, 2008 and September 30, 2014. Fifty-one patients had undergone abdominal MDCT examination.
  
  
  RESULTS
  The most common findings seen in abdominal MDCT were intra-abdominal free fluid and hepatomegaly. Gallbladder wall thickening, heterogeneity in mesenteric, omental fatty tissue, and splenomegaly were other common findings. Subcutaneous fat tissue edema, intramuscular hemorrhage, duodenal wall thickening, colon wall thickening, pancreatitis, and acute renal failure were among the rare findings seen in abdominal MDCT. Comparison of these findings to the clinical laboratory parameters showed a strong relationship between intra-abdominal free fluid and platelet count.
  
  
  CONCLUSIONS
  Our study is the first comprehensive study on abdominal MDCT findings of CCHF. We detected a strong relationship between patients' platelet count and abdominal free liquid. Therefore, it should be kept in mind that abdominal free fluid can be among clinical manifestations in patients with platelet counts ≤50000 and that this manifestation can become aggravated.
authors: Department of Radiology, School of Medicine, Gaziosmanpaşa University, Tokat, Turkey. doktor.zafer@mynet.com.
authors: Zafer
authors: Z
authors: Özmen
authors: Department of Radiology, School of Medicine, Gaziosmanpaşa University, Tokat, Turkey.
authors: Eda
authors: E
authors: Albayrak
authors: Department of Biochemistry, School of Medicine, Gaziosmanpaşa University, Tokat, Turkey.
authors: Zeliha Cansel
authors: ZC
authors: Özmen
authors: Department of Radiology, School of Medicine, Gaziosmanpaşa University, Tokat, Turkey.
authors: Fatma
authors: F
authors: Aktaş
authors: Department of Pulmonary Medicine, School of Medicine, Gaziosmanpaşa University, Tokat, Turkey.
authors: Turan
authors: T
authors: Aktas
authors: Ankara Oncology Education and Research Hospital, Ankara, Turkey.
authors: Fazilet
authors: F
authors: Duygu
mesh_terms: D000005:Abdomen / Q000000981:diagnostic imaging*; D005260:Female; D006479:Hemorrhagic Fever, Crimean / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed
keywords: Abdominal free fluid; Computed tomography; Crimean-Congo hemorrhagic fever