Massive ascites in a patient with COVID-19 without cirrhosis

Patients with coronavirus disease 2019 (COVID-19) typically present with respiratory distress but there have been reports of gastrointestinal involvement and associated complications. We report the case of a patient with no history of liver disease who presented with typical dyspnea associated with COVID-19 and massive ascites that caused abdominal compartment syndrome. We discuss the hospital course, possible causes, and implications of this presentation.