William Noel; Brian B. Donahue – A 59-year-old man with past medical history including obesity status post gastric banding surgery and atrial fibrillation on rivaroxaban, presented to the emergency department with a complaint of focal pain to his right abdomen along with areas of visible bruising. He noted that since his diagnosis of COVID-19 a week prior, he had been having paroxysms of coughing. During one episode of coughing a few days prior to seeking medical care, the patient recalled a “ripping” sensation in his right abdomen followed by intermittent achiness and bruising to that area.