Rare presentation of acute pancreatitis in mild COVID-19

被引:2
作者
Hatch-Vallier, Brianna [1 ]
Jarodiya, Vijay [1 ]
Hawa, Fadi [1 ]
Daniel, Rebecca [1 ]
机构
[1] St Joseph Mercy Ann Arbor Hosp, Internal Med, Ann Arbor, MI 48108 USA
关键词
pancreatitis; COVID-19;
D O I
10.1136/bcr-2021-246720
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
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.
引用
收藏
页数:3
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