Case Report


Acute pancreatitis in a patient with COVID-19: A case report

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1 DNB; Postgraduate Student at Institute of Liver Gastroenterology & Pancreatico Biliary Sciences, Sir Ganga Ram Hospital, New Delhi, India

2 MD, DM; Consultant at Institute of Liver Gastroenterology & Pancreatico Biliary Sciences, Sir Ganga Ram Hospital, New Delhi, India

3 MD, DNB, FRCPE; Consultant at Institute of Liver Gastroenterology & Pancreatico Biliary Sciences, Sir Ganga Ram Hospital, New Delhi, India

4 MD, DNB; Consultant at Institute of Liver Gastroenterology & Pancreatico Biliary Sciences, Sir Ganga Ram Hospital, New Delhi, India

5 MD, DM, Chairman at Institute of Liver Gastroenterology & Pancreatico Biliary Sciences, Sir Ganga Ram Hospital, New Delhi, India

Address correspondence to:

Praveen Sharma

Department of Gastroenterology, Sir Ganga Ram Hospital, New Delhi,

India

Message to Corresponding Author


Article ID: 100092Z04MK2020

doi: 10.5348/100092Z04MK2020CR

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How to cite this article

Kolhe M, Sharma P, Anikhindi S, Bansal N, Saachdeva M, Arora A. Acute pancreatitis in a patient with COVID-19: A case report. Int J Hepatobiliary Pancreat Dis 2020;10: 100092Z04MK2020.

ABSTRACT


Introduction: The world is in the middle of the COVID-19 global pandemic. Case load is rising on exponential rate and we have already crossed 20 million mark. Typical presenting feature of COVID-19 is asymptomatic/mild or symptoms/acute respiratory illness and death. Gastrointestinal (GI) manifestations are common like loose stools, nausea, and abdominal pain.

Case Report: A case of a 19-year-old girl without previous comorbidities presented with typical symptoms of COVID-19. During hospital stay she developed abdominal pain and diagnosed severe pancreatitis. All common causes of acute pancreatitis were ruled out by doing relevant investigations. Her pancreatitis was severe and required percutaneous drainage of necrotic material. She was discharged after prolonged hospital stay even after her negative COVID test.

Conclusion: Atypical presentation of COVID-19 is increasing with increasing case load. Abdominal pain in a patient with COVID should be evaluated for acute pancreatitis and be treated accordingly to lessen morbidity and mortality.

Keywords: Abdominal pain, Acute pancreatitis, Atypical presentation, COVID

SUPPORTING INFORMATION


Author Contributions

Manoj Kolhe - Substantial contributions to conception and design, Acquisition of data, Drafting the article, Final approval of the version to be published

Praveen Sharma - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Shrihari Anikhindi - Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published

Naresh Bansal - Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published

Munish Saachdeva - Acquisition of data, Drafting the article, Final approval of the version to be published

Anil Arora - Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published

Guarantor of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2020 Manoj Kolhe et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.