Coronavirus disease (COVID- 19) is affecting millions of people around the world. It is mainly associated with respiratory problems, but extra pulmonary involvement has been described as well . During the COVID-19 outbreak, several children developed a severe inflammatory disease, named Multisystem Inflammatory Syndrome (MIS-C). Acute MISC can have life-threatening consequences and requires intensive medical care. It is not known how long-term the results of acute MISC are. Liver damage, gastrointestinal, endocrine and cardiovascular disorders have been detected . The aim of this article is to consider complications of MIS-C in patients with abdominal pain, because Since abdominal pain is also a symptom of MIS-C, this should not distract us from rare complications such as splenic abscess as a differential diagnosis can be fetal if left untreated. Herein, we report a COVID-19 patient with no signs of respiratory involvement presented with acute abdomen and splenic abscess was seen on the CT-scan later.