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Liver
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Unexpected liver imaging during severe COVID-19 infection
  1. Francesca D'errico,
  2. Sreelakshmi Kotha,
  3. Terry Wong,
  4. Philip Berry
  1. Gastroenterology, Guy's and Saint Thomas' NHS Foundation Trust, London, UK
  1. Correspondence to Dr Sreelakshmi Kotha, Gastroenterology, Guy's and Saint Thomas' NHS Foundation Trust, London, UK; sreelakshmi_kotha{at}yahoo.com

https://doi.org/10.1136/flgastro-2021-101840

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    Clinical case

    A 38-year-old man with COVID-19 developed productive cough, shortness of breath and a requirement for supplemental oxygen on day 10 of infection. There was no significant past medical or surgical history. There was a rapid deterioration in cardiorespiratory status requiring emergency intubation and mechanical ventilation before transfer to the intensive care unit. Increasing vasopressor requirements and the absence of bowel sounds triggered an abdominal CT scan (figures 1 and 2).

    Figure 1

    Small bowel infarction with pneumatosis in left lower quadrant (arrow A) and gas in portal venous structures (arrow B).

    Figure 2

    Gas in portal venous structures …

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    Footnotes

    • FD and SK are joint first authors.

    • Contributors FD and SK are joint 1st coauthors. SK: conceptualisation, writing. FD: conceptualisation, writing. TW: review and editing. PB: conceptualisation, writing.

    • 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.

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