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Updated: Dec 6, 2025

Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Severe COVID-19 initially presenting as mesenteric adenopathy
Sakura Noda1,2, Jimmy Ma3, Erin K Romberg4,5
1Department of Radiology, Seattle Children's Hospital, M/S MA.7.220, P.O. Box 5731, Seattle, WA, 98104-5005, USA. sakura.noda@seattlechildrens.org.
Abstract:
Coronavirus disease 2019 (COVID-19) can present with abdominal pain in children and adults. Most imaging findings have been limited to characteristic lung findings, as well as one report of bowel-ischemia-related findings in adults. We report a case of COVID-19 in a healthy teenager who initially presented with isolated mesenteric adenopathy, typically a self-limited illness, which progressed to severe illness requiring intensive care before complete recovery. The boy tested negative for COVID-19 twice by polymerase chain reaction (PCR) from upper respiratory swabs before sputum PCR resulted positive. A high index of suspicion should be maintained for COVID-19 given the continued emergence of new manifestations of the disease.
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