Monocentric case-series of mesenteric vascular disease occurred in the first month of the COVID-19 pandemic

objectives: we describe coronavirus disease (COVID-19) patients also manifesting gastro-intestinal symptoms. methods: five women, between the ages of 32 and 82 years old, were admitted for acute abdomen, and received a nasopharyngeal swab for COVID-19 screening, lab test analysis, and contrast thoraco-abdominal CT-scan. all presented leukocytosis, different localizations of visceral vessels thrombosis and ischemia, and COVID-19. results: emergency laparotomy was accepted by all but 1, who died after 5 days. postoperatively, 1 died of multi-organ failure, 3 were discharged home after 14, 8 and 10 days respectively, under anti-platelet and anticoagulation treatment. conclusions: in COVID-19 patients with acute abdomen, abdominal contrast CT-scans should be systematically extended to the thorax to detect visceral COVID-19 initial pulmonary signs. emergency laparotomy and visceral arteries thrombectomy could be necessary.