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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...

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Autores principales: Hatch-Vallier, Brianna, Jarodiya, Vijay, Hawa, Fadi, Daniel, Rebecca
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2021
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.
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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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