The COVID-19 outbreak has become a pandemic that is threatening global health. The typical clinical manifestations were fever, cough, dyspnea, and myalgia or fatigue. Digestive symptoms such as nausea, vomiting, diarrhea, abdominal pain usually accompany respiratory symptoms. However gastrointestinal bleeding as the first symptom is not reported. Here we reported a case of COVID-19 with gastrointestinal bleeding as the initial symptom to the emergency department with a real-time reverse transcriptase polymerase chain reaction test positive, and normal thorax tomography. The case demonstrate that; clinicians should be alerted to patients about COVID-19 when referring to atypical symptoms and every patient undergoing endoscopy should be considered potentially infected or can infect others.

COVID-19爆发已成为威胁全球健康的大流行病。典型的临床表现为发烧，咳嗽，呼吸困难和肌痛或疲劳。消化系统症状如恶心，呕吐，腹泻，腹痛通常伴随呼吸道症状。然而，没有胃肠道出血为首发症状的报道。在这里，我们向急诊科报告了一例以胃肠道出血为首发症状的COVID-19，实时逆转录酶聚合酶链反应试验呈阳性，胸部断层扫描正常。该案表明：当提到非典型症状时，应警告临床医生有关COVID-19的信息，每位接受内窥镜检查的患者均应视为可能感染或可以感染他人。