A Case of COVID-19–Induced Acute Pancreatitis

Meyers, Matthew H.; Main, M.; Orr, Jordan; Obstein, Keith L.

doi:10.1097/mpa.0000000000001696

Cited by 14 publications

(13 citation statements)

References 8 publications

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“…However, a case report on a resected gallbladder after cholecystitis highlighted the presence of SARS‐CoV‐2 within the tissue, thus confirming viral presence 113 . Pancreatic involvement, defined as an increase in serum amylase and/or lipase or overt acute pancreatitis, has also been described in few reports or case series 115–118 . In the largest retrospective case series, elevated serum lipase was found in 14/83 cases (16.8%), and this was correlated with higher rates of admission to the intensive care unit and need for intubation 117 .…”

Section: Clinical Featuresmentioning

confidence: 91%

“…113 Pancreatic involvement, defined as an increase in serum amylase and/or lipase or overt acute pancreatitis, has also been described in few reports or case series. [115][116][117][118] In the largest retrospective case series, elevated serum lipase was found in 14/83 cases (16.8%), and this was correlated with higher rates of admission to the intensive care unit and need for intubation. 117 However, the number of cases described is rather small and most patients were severely obese.…”

Section: Biliary and Pancreatic Manifestationsmentioning

confidence: 97%

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Implications of SARS‐CoV‐2 infection for neurogastroenterology

Marasco

Lenti

Cremon

et al. 2021

Neurogastroenterology Motil

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Health Organization reported more than 32 million cases and 995 thousands deaths from 235 countries related to this pandemic. 2 The clinical course of SARS-CoV-2 infection can span a wide range from asymptomatic to a rapidly progressing and life-threatening disease, most commonly associated with a variety of symptoms, such as fever, cough, dyspnea, pneumonia, acute respiratory distress syndrome, systemic inflammatory response syndrome, and multiple

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Section: Clinical Featuresmentioning

confidence: 91%

Section: Biliary and Pancreatic Manifestationsmentioning

confidence: 97%

Implications of SARS‐CoV‐2 infection for neurogastroenterology

Marasco

Lenti

Cremon

et al. 2021

Neurogastroenterology Motil

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“…Meyers et al [ 37 ] reported the case of a 67-year-old man with prior cholecystectomy (2015) and a history of alcohol use after 1 d of acute onset epigastric abdominal discomfort, with no cough, fevers, or other gastrointestinal symptoms. Additionally, hyperlipasemia was present.…”

Section: Case Reports and Cohort Studies On Ap In Covid-19 In The Literature Searchmentioning

confidence: 99%

“…Two days after COVID-19 pneumonia, PCR and CT were performed. In the discussion, the authors wrote that in their patient with light alcohol use 6 d before symptom onset, alcohol was an unconvincing etiology, and COVID-19 etiology was the most likely[ 37 ].…”

Section: Case Reports and Cohort Studies On Ap In Covid-19 In The Literature Searchmentioning

confidence: 99%

Association between acute pancreatitis and COVID-19 infection: What do we know?

Jabłońska

Mrowiec

2021

WJGS

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The disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), also called coronavirus disease 2019 (COVID-19), first originated in Wuhan, China, displaying atypical pneumonia-like respiratory symptoms in affected patients. SARS-CoV-2 primarily attacks the respiratory system, and the most common symptoms include cough, shortness of breath, and fever. However, its impact on the digestive system has been shown, and various clinical gastrointestinal manifestations of this disease have been recognized. Some reports have shown acute pancreatitis (AP) as the initial symptom in patients with COVID-19. AP may be a consequence of direct pancreatic damage by the virus because pancreatic acinar cells contain angiotensin-converting enzyme 2 receptor proteins, and SARS-CoV-2 can bind to these receptors, causing pancreatic injury. Moreover, AP may be a secondary indicator of cytokine storms and altered inflammatory responses. Our review of the literature shows that SARS-CoV-2 appears to be a new etiological infectious factor related to AP. In this manuscript, a comprehensive review of case reports and case series of patients with AP and COVID-19 is presented. All reports on COVID-19-associated AP are summarized. All cases are thoroughly analyzed and discussed in-depth.

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“…In the reviewed studies, pancreatic enzyme levels were detected from normal (27) to above 20 to 30 times more than the normal range (19,28). In addition to that, the C-Reactive Protein (CRP) level also was up to 20-times elevated (17).…”

Section: Diagnosismentioning

confidence: 97%

COVID-19 Associated Pancreatitis: A Review of 66 Cases

Rahimian¹,

Ardekani²,

Feili³

et al. 2021

Preprint

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Background: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has shown itself with different clinical manifestations. Besides respiratory distress, cough, and fever, which were the most common symptoms, pancreatitis has been reported as a rare presentation of this disease, but the knowledge on this association and its pathogenesis is sparse. Methods: Four databases, including Pub Med, Scopus, Web of Science, and Google Scholar, were searched for the association of pancreatitis and SARS-CoV- 2 infection, and 29 relevant articles were extracted and reviewed. Results: We reviewed 29 studies provided 66 cases developed acute pancreatitis while they were infected with SARS-CoV-2. The mean age of patients was 49.94 ± 16.96. The female to male ratio was 1.06 (33 to 31). In 44% of cases, acute pancreatitis developed as the primary presentation of Coronavirus Disease 2019 (COVID-19) and 9% of reported cases, expired.Conclusions: During this pandemic, SARS-CoV-2 should be considered in the differential diagnosis of the patients presenting with acute pancreatitis. Although pancreatitis will respond to standard care, these patients need isolation and observation for later development of respiratory symptoms.

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A Case of COVID-19–Induced Acute Pancreatitis

Cited by 14 publications

References 8 publications

Implications of SARS‐CoV‐2 infection for neurogastroenterology

Implications of SARS‐CoV‐2 infection for neurogastroenterology

Association between acute pancreatitis and COVID-19 infection: What do we know?

COVID-19 Associated Pancreatitis: A Review of 66 Cases

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