Journal of Clinical Medicine Research, ISSN 1918-3003 print, 1918-3011 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Clin Med Res and Elmer Press Inc
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Case Report

Volume 12, Number 9, September 2020, pages 624-628

An Atypical Presentation of COVID-19 in a Previously Healthy Young Male With a Rare Cause of Abdominal Pain


Figure 1.
Figure 1. Contrast-enhanced CT image revealing inflammatory stranding centered around an ovoid fat-attenuation structure arising from the antimesenteric border of the sigmoid colon (circled), findings consistent with acute epiploic appendagitis in the transaxial plane (a) and in the coronal plane (b). CT: computed tomography.
Figure 2.
Figure 2. Image from abdominal/pelvic CT revealing patchy peripheral GGOs (arrows) present in the lung bases in the coronal plane. CT: computed tomography; GGOs: ground-glass opacities.


Table 1. Laboratory Results
Study (Unit)Reference rangeHospital day 1Hospital day 2Hospital day 6
AST: aspartate aminotransferase; ALT: alanine aminotransferase.
White blood cell (cells/µL)4,000 - 11,0002,5302,3302,980
  Neutrophil (%)52.936.523
  Absolute neutrophil count1,338850685
  Lymphocyte (%)3652.463
Platelets (cells/µL)150,000 - 450,000136,000119,000167,000
AST (IU/L)4 - 373827
ALT (IU/L)4 - 406137
Ferritin (ng/mL)30 - 400845.5
C-reactive protein (mg/dL)< 0.500.91
Lactate dehydrogenase (IU/L)81 - 216252
Lactic acid (mmol/L)0.5 - 1.91.5
Procalcitonin (ng/mL)< 0.10< 0.09
Hemoglobin A1c (%)4.8 - 6.012.7