J Hematol

Journal of Hematology, ISSN 1927-1212 print, 1927-1220 online, Open Access

Article copyright, the authors; Journal compilation copyright, J Hematol and Elmer Press Inc

Journal website https://www.thejh.org

Case Report

Volume 10, Number 2, April 2021, pages 76-79

An Unusual Cause of Gastrointestinal Perforation in an Adolescent Patient With Beta-Thalassemia on Deferasirox and SARS-CoV-2 Infection

Figures

Figure 1. Chest radiograph depicting free air under the diaphragm shown by blue arrow pointing to free air.

Figure 2. (a) Abdominal CT (axial views) with blue arrow indicating free air and perforation. (b) Abdominal CT (coronal views) depicting free air and fluid secondary to gastric perforation. CT: computed tomography.

Table

**Table 1.** Bloods on Admissions
Blood	Result	Normal
PCO₂: partial pressure of carbon dioxide; PO₂: partial pressure of oxygen; ALT: alanine aminotransferase; ALP: alkaline phosphatase; HIV: human immunodeficiency virus.
Hemoglobin	89	130 - 180 g/L
White cell count	4.6	4 - 11 × 10⁹/L
Platelets	49	140 - 400 × 10⁹/L
C-reactive protein	9	0 - 9 mg/L
pH	7.16	7.35 - 7.45
PCO₂	5.02	4.67 - 6.4 kPa
PO₂ (on 24%)	11.1	11.1 - 14.4 kPa
HCO₃	12.7	22 - 26 mmol/L
Lactate	6.9	0.5 - 1.6 mmol/L
Bilirubin	49	0 - 20 µmol/L
ALT	56	1 - 45 U/L
ALP	190	30 - 130 U/L
Albumin	37	35 - 50 g/L
Ferritin	945	11 - 336 µg/L
Vitamin B12	< 85	187 - 883 ng/L
Viral screen including hepatitis B/C and HIV	Negative