Abdominal presentation of covid-19

A 64-year-old with hypertension, hypercholesterolemia, and recent exposure to a family member with coronavirus disease 2019 (COVID-19) presented to the emergency department with a two-day history of abdominal pain, nausea, vomiting, diarrhea, and low-grade fever. The patient denied fatigue, myalgia, headache, cough, sore throat, shortness of breath, and chest pain/ tightness. Physical examination was remarkable for a temperature of 101°F, oxygen saturation of 98%, and generalized abdominal tenderness. Laboratory values were remarkable for slightly elevated alanine aminotransferase (ALT) and aspartate aminotransferase (AST). An abdominal–pelvic CT scan with intravenous contrast was subsequently performed to assess for acute pathology. Based upon CT observations at the imaged lung bases, an anterior–posterior chest radiograph was obtained.