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Rare presentation of acute pancreatitis in mild COVID-19
Viral-induced pancreatitis has been well-defined; however, there are limited data regarding COVID-19 and pancreatitis. Most cases are commonly in conjunction with severe COVID-19 as well as lipase elevation. We describe a unique case of mild SARS-CoV-2 infection resulting in acute pancreatitis in th...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8606762/ https://www.ncbi.nlm.nih.gov/pubmed/34799394 http://dx.doi.org/10.1136/bcr-2021-246720 |
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author | Hatch-Vallier, Brianna Jarodiya, Vijay Hawa, Fadi Daniel, Rebecca |
author_facet | Hatch-Vallier, Brianna Jarodiya, Vijay Hawa, Fadi Daniel, Rebecca |
author_sort | Hatch-Vallier, Brianna |
collection | PubMed |
description | Viral-induced pancreatitis has been well-defined; however, there are limited data regarding COVID-19 and pancreatitis. Most cases are commonly in conjunction with severe COVID-19 as well as lipase elevation. We describe a unique case of mild SARS-CoV-2 infection resulting in acute pancreatitis in the absence of lipase elevation. A 39-year-old patient with no medical history, presented with epigastric pain. Vital signs were unremarkable. Patient was positive for COVID-19. Liver function panel, calcium, triglyceride and lipase levels were all unremarkable. CT of the abdomen demonstrated acute pancreatitis without gallstones. Our case may indicate that pancreatic injury in SARS-CoV-2 infection is due to a direct impact on the pancreas by the virus, given the absence of lipase elevation and mild presentation. This case highlights the importance of suspecting pancreatitis in mild COVID-19 that present with atypical symptoms such as epigastric pain, even without lipase elevation. |
format | Online Article Text |
id | pubmed-8606762 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-86067622021-12-03 Rare presentation of acute pancreatitis in mild COVID-19 Hatch-Vallier, Brianna Jarodiya, Vijay Hawa, Fadi Daniel, Rebecca BMJ Case Rep Case Report Viral-induced pancreatitis has been well-defined; however, there are limited data regarding COVID-19 and pancreatitis. Most cases are commonly in conjunction with severe COVID-19 as well as lipase elevation. We describe a unique case of mild SARS-CoV-2 infection resulting in acute pancreatitis in the absence of lipase elevation. A 39-year-old patient with no medical history, presented with epigastric pain. Vital signs were unremarkable. Patient was positive for COVID-19. Liver function panel, calcium, triglyceride and lipase levels were all unremarkable. CT of the abdomen demonstrated acute pancreatitis without gallstones. Our case may indicate that pancreatic injury in SARS-CoV-2 infection is due to a direct impact on the pancreas by the virus, given the absence of lipase elevation and mild presentation. This case highlights the importance of suspecting pancreatitis in mild COVID-19 that present with atypical symptoms such as epigastric pain, even without lipase elevation. BMJ Publishing Group 2021-11-19 /pmc/articles/PMC8606762/ /pubmed/34799394 http://dx.doi.org/10.1136/bcr-2021-246720 Text en © BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. Published by BMJ. https://bmj.com/coronavirus/usageThis article is made freely available for use in accordance with BMJ’s website terms and conditions for the duration of the covid-19 pandemic or until otherwise determined by BMJ. You may use, download and print the article for any lawful, non-commercial purpose (including text and data mining) provided that all copyright notices and trade marks are retained. |
spellingShingle | Case Report Hatch-Vallier, Brianna Jarodiya, Vijay Hawa, Fadi Daniel, Rebecca Rare presentation of acute pancreatitis in mild COVID-19 |
title | Rare presentation of acute pancreatitis in mild COVID-19 |
title_full | Rare presentation of acute pancreatitis in mild COVID-19 |
title_fullStr | Rare presentation of acute pancreatitis in mild COVID-19 |
title_full_unstemmed | Rare presentation of acute pancreatitis in mild COVID-19 |
title_short | Rare presentation of acute pancreatitis in mild COVID-19 |
title_sort | rare presentation of acute pancreatitis in mild covid-19 |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8606762/ https://www.ncbi.nlm.nih.gov/pubmed/34799394 http://dx.doi.org/10.1136/bcr-2021-246720 |
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