Radiological Signs of Urinary Tract Involvement in Covid-19

Abstract

The extrapulmonary manifestations of Coronavirus Disease 2019 (COVID-19) are common. However, radiological reports presenting urinary tract abnormalities related to COVID-19 were not widely published. We present a case of a female patient with a mild course of the COVID-19 disease, which affected the entire urinary tract. CT scanning showed inflammatory kidney changes with multiple ureter and bladder blood clots accompanied by a decrease in renal function. A literature review found only several publications that included imaging of urinary tract manifestations of COVID-19, generally presenting as renal infarctions due to a COVID-19 related hypercoagulability state. Also, there is evidence of some discrete changes in renal parenchymal CT attenuation values due to kidney inflammation in COVID-19 patients. However, imaging of other parts of the urinary system, with the exception of the kidneys, are rarely described to be affected by COVID-19. More clinical attention is needed to diagnose the unknown aspects of the disease.