PMC7722635_01
Dilated stomach (a) and small bowel loops throughout the abdomen with a fat-containing ventral wall hernia (b). Umbilical hernia containing fat and distal small bowel loops, transition point (c).
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fig1
Computed tomography of the abdomen and pelvis with intravenous contrast showed a distended stomach, dilated loops of small bowel, a fat-containing ventral wall hernia, and an umbilical hernia containing small bowel that was concerning for a transition point (Figure 1).
A graphical representation of (a) serum C-reactive protein, (b) serum ferritin, (c) quantitative D-dimer, (d) white blood cell count, and (e) serum lactate dehydrogenase. HD, hospital day. *Unstable to quantify CRP value greater than 160 mg/L.
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fig2
C-reactive protein of greater than 160 mg/L, and lactate of 3.1 mmol/L (Figure 2). COVID-19 pneumonia was suspected, and a repeat SARS-CoV-2 RT-PCR test was sent and was negative.