Abstract: COVID-19 initially considered a respiratory tract pathogen, but it can present with various clinical features with multiple organ dysfunctions, among which gastrointestinal manifestations such as nausea, diarrhea, vomiting, and mild abdominal pain have been reported. Omental panniculitis have been reported as rare presentations of COVID-19. Due to the increased advent of imaging studies among patients presented with acute abdominal pain, Omental/mesenteric panniculitis are not uncommon finding during the pandemic. This atypical presentation may lead to difficulties in establishing the diagnosis in a timely manner; furthermore, they may lead to unnecessary investigations and surgical intervention. We presented four cases with acute abdominal pain, necessitating surgical assessment and evaluation, from the western part of Odisha state of India during the 2nd wave(β-variant) of COVID-19 pandemic(September-October,2021),diagnosed as cases of clinically proven COVID-19 by clinical, biochemical markers, serological and imaging studies and all cases managed conservatively and did not require surgical management. |