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Correspondence
Haemorrhagic enteritis and COVID-19: causality or coincidence
  1. Anjali D Amarapurkar1,
  2. Priyanka Vichare1,
  3. Nidhi Pandya1,
  4. Sneha Deshpande2
  1. 1 Department of Pathology, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, India
  2. 2 Department of Radiology, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, India
  1. Correspondence to Dr Anjali D Amarapurkar, Pathology, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, India; anjali1963{at}gmail.com

https://doi.org/10.1136/jclinpath-2020-206743

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    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 …

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    Footnotes

    • Handling editor Runjan Chetty.

    • Contributors All authors contributed equally to the work. ADA, PV and NP: contributed to this article with literature review, data analysis and drafting the manuscript. PV and NP: data acquisition, analysis and interpretation. ADA: critical revision and editing for intellectual content; conception and design of the study; and final approval of the final version.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Next of kin consent obtained.

    • Provenance and peer review Not commissioned; internally peer reviewed.