 Bowel perforation detected on a computed tomography scan of the abdomen and pelvis performed for evaluation of severe abdominal pain and abdominal distension in a critical patient with coronavirus disease 2019. Positive oral contrast is seen to opacify small and large bowel loops. There is evidence of jejunal perforation with a localized air collection in the mesentery (orange arrow) at the site and adjacent inflammation (blue arrow). The proximal jejunal loops appear dilated. The patient underwent emergency laparotomy with resection and anastomosis.