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Severe Necrotizing Pancreatitis in a Pediatric Patient with COVID-19: A Case Report

We describe a 15-year-old female diagnosed with necrotizing pancreatitis in the setting of coronavirus disease 2019 with severe complications including splenic vein and portal vein thromboses, pleural effusion requiring chest tube, acute hypoxic respiratory failure requiring noninvasive positive-pre...

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Autores principales: Li, Lucinda, Mostafavi, Mojdeh, Miller, John W., Hirsch, Barry, O’Connor, Stephen, Sayej, Wael N.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins, Inc. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10174737/
https://www.ncbi.nlm.nih.gov/pubmed/37181457
http://dx.doi.org/10.1097/PG9.0000000000000307
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author Li, Lucinda
Mostafavi, Mojdeh
Miller, John W.
Hirsch, Barry
O’Connor, Stephen
Sayej, Wael N.
author_facet Li, Lucinda
Mostafavi, Mojdeh
Miller, John W.
Hirsch, Barry
O’Connor, Stephen
Sayej, Wael N.
author_sort Li, Lucinda
collection PubMed
description We describe a 15-year-old female diagnosed with necrotizing pancreatitis in the setting of coronavirus disease 2019 with severe complications including splenic vein and portal vein thromboses, pleural effusion requiring chest tube, acute hypoxic respiratory failure requiring noninvasive positive-pressure ventilation, and new-onset insulin-dependent diabetes mellitus, requiring over a month-long hospitalization. Following discharge, the patient experienced a prolonged loss of appetite, nausea, and extreme weight loss., During her prolonged hospitalization, she was diagnosed with necrotizing pancreatitis with walled-off collection which was ultimately treated with transgastric endoscopic ultrasound-guided drainage, multiple endoscopic necrosectomies, lumen-apposing metal stents, and double-pigtail plastic stent. Nine months after her initial presentation, patient’s clinical symptoms improved, and her weight stabilized. This case highlights the importance of recognizing acute and necrotizing pancreatitis and its morbidities as complications associated with coronavirus disease 2019.
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spelling pubmed-101747372023-05-12 Severe Necrotizing Pancreatitis in a Pediatric Patient with COVID-19: A Case Report Li, Lucinda Mostafavi, Mojdeh Miller, John W. Hirsch, Barry O’Connor, Stephen Sayej, Wael N. JPGN Rep Case Report We describe a 15-year-old female diagnosed with necrotizing pancreatitis in the setting of coronavirus disease 2019 with severe complications including splenic vein and portal vein thromboses, pleural effusion requiring chest tube, acute hypoxic respiratory failure requiring noninvasive positive-pressure ventilation, and new-onset insulin-dependent diabetes mellitus, requiring over a month-long hospitalization. Following discharge, the patient experienced a prolonged loss of appetite, nausea, and extreme weight loss., During her prolonged hospitalization, she was diagnosed with necrotizing pancreatitis with walled-off collection which was ultimately treated with transgastric endoscopic ultrasound-guided drainage, multiple endoscopic necrosectomies, lumen-apposing metal stents, and double-pigtail plastic stent. Nine months after her initial presentation, patient’s clinical symptoms improved, and her weight stabilized. This case highlights the importance of recognizing acute and necrotizing pancreatitis and its morbidities as complications associated with coronavirus disease 2019. Lippincott Williams & Wilkins, Inc. 2023-05-09 /pmc/articles/PMC10174737/ /pubmed/37181457 http://dx.doi.org/10.1097/PG9.0000000000000307 Text en Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND (https://creativecommons.org/licenses/by-nc-nd/4.0/) ), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Case Report
Li, Lucinda
Mostafavi, Mojdeh
Miller, John W.
Hirsch, Barry
O’Connor, Stephen
Sayej, Wael N.
Severe Necrotizing Pancreatitis in a Pediatric Patient with COVID-19: A Case Report
title Severe Necrotizing Pancreatitis in a Pediatric Patient with COVID-19: A Case Report
title_full Severe Necrotizing Pancreatitis in a Pediatric Patient with COVID-19: A Case Report
title_fullStr Severe Necrotizing Pancreatitis in a Pediatric Patient with COVID-19: A Case Report
title_full_unstemmed Severe Necrotizing Pancreatitis in a Pediatric Patient with COVID-19: A Case Report
title_short Severe Necrotizing Pancreatitis in a Pediatric Patient with COVID-19: A Case Report
title_sort severe necrotizing pancreatitis in a pediatric patient with covid-19: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10174737/
https://www.ncbi.nlm.nih.gov/pubmed/37181457
http://dx.doi.org/10.1097/PG9.0000000000000307
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