COVID-19-Induced GI Vascular Abnormalities: Beyond Fatigue and Lungs.

COVID-19 infection is associated with multi-system complications other than primary pulmonary disease. It is well-documented that it causes an inflammatory response, which in severe cases can lead to pathologies in other organ systems. Gastrointestinal (GI) manifestations are common and includes anorexia, diarrhoea, nausea, vomiting, and abdominal pain. An uncommon GI manifestation in COVID-19 infection is GI bleeding (GIB). Angioectasia is one of the rare causes of GIB, not very common, reasonably straightforward to diagnose, but difficult to treat, with no consensus in the literature on the most effective treatment modalities and no standardised approaches to management. In this paper, we present an unusual case of GIB following a severe COVID-19 infection, discussing the diagnostic and therapeutic challenges. Written and informed consent to publish was obtained from the patient.