An 83-year-old man presented to the emergency department (ED) during the peak of the first wave of the SARS CoV-2 (COVID-19) pandemic with severe abdominal pain, mimicking a severe abdominal pathology. He was found to have features suggestive of COVID-19 infection radiologically, with no leaking aortic aneurysm, bowel ischemia, pancreatitis, or perforation. With worsening symptoms, a repeat computer tomography (CT) scan four days later showed features of bowel ischemia, and he underwent a laparotomy and right hemicolectomy. Four real-time reverse transcription-polymerase chain reaction (rRT-PCR) tests were negative. He was still considered to be infected with COVID-19 and died from complications arising from multi-organ failure. This case highlights an atypical presentation of a possible COVID-19 infection, the urgency to have additional diagnostic tests apart from rRT-PCR, and the necessity to use the appropriate personal protective equipment (PPE) during the pandemic.
【저자키워드】 COVID-19, Coronavirus pandemic, Personal protective equipment (PPE), thromboembolic disease, atypical COVID-19, bowel ischemia, sars-cov-2 (severe acute respiratory syndrome coronavirus -2), rt-pcr (real time - reverse transcription polymerase chain reaction), 【초록키워드】 SARS CoV-2, pathology, Personal protective equipment, pandemic, computer tomography, diagnostic test, abdominal pain, Symptoms, rRT-PCR, COVID-19 infection, PPE, Complication, First wave, Ischemia, Atypical, worsening, multi-organ failure, urgency, aortic aneurysm, bowel, feature, died, arising, mimicking, infected with COVID-19, leaking, 【제목키워드】 Test, reaction, chain, negative, peak, Result, illness,