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As coronavirus pandemic continue to spread over the world, we have to be aware of potential complications on hospitalized patients. We report a case of a 79-year-old woman with COVID-19 pneumonia complicated by combined arterial and venous thrombosis of upper mesenteric vessels. As unenhanced chest-CT scan plays a key-role in managing the COVID-19 pandemic we should pay attention to indirect signs of thrombosis. © 2020 Published by Elsevier Inc. on behalf of University of Washington.BACKGROUND Gastric lavage (GL) is one of the most cri