A 14-year-old boy presented to our emergency department with abdominal pain in the epigastric region associated with anorexia, nausea, and vomiting for 24 hours. The patient had no fever or respiratory symptoms. There was no underlying disease. He mentioned a history of contact with his aunt, who was suspected of COVID-19. On physical examination, the patient was not ill or toxic and vital signs were normal: RR: 20, PR: 98, BP: 100/65, and T: 36.9°C. The abdomen was soft, non-distended with right lower quadrant and epigastric tenderness.
Laboratory tests revealed elevated amylase (1914, normal <100 μ/l) and lymphopenia, and other blood test results were within normal limits. Later, a nasopharyngeal swab specimen was collected, which tested positive for SARS-CoV-2 on reverse transcriptase-polymerase chain reaction (RT-PCR). Due to the positive SARS-CoV-2 RT-PCR, a chest X-ray (Figure 1) and computed tomography (CT) (Figure 2) were obtained.
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