Haemorrhagic enteritis and COVID-19: causality or coincidence

Respiratory system is the main target in COVID-19 infection.1 Acute gastrointestinal (GI) manifestations of COVID-19 are rare.2–4 We describe a case of COVID-19 presenting with acute abdomen, diagnosed as haemorrhagic enteritis. A 61-year-old man residing in a COVID-19 containment area presented in emergency room with severe abdominal pain and vomiting. There was no history of fever, cough, respiratory or any significant symptoms. Contrast enhanced computer topography axial precontrast and postcontrast venous phase showed long segment small bowel wall thickening with high-density areas in the bowel wall likely representing haemorrhage with mild ascites (figure 1A,B). Routine haemogram showed haemoglobin 8.5 gm/dL, total white cell count …