COVID-19 et la pancréatite aiguë

Remouche, H.; Houari, Abdellah; Kadjam, O.; Kerrache, S.; Bouyadjra, M. Bachir; Seddiki, M.; Brahmi, Khadidja; Mohammed, Alaa Hamid; Belkharroubi, K.

doi:10.1016/j.jchirv.2021.06.063

Cited by 2 publications

(3 citation statements)

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“…Viral-attributed acute pancreatitis is an entity described in published data. Most common etiologies are mumps, coxsackievirus, Epstein-Barr virus and hepatitis A [2]. Since the beginning of the Covid-19 pandemic, many cases of acute pancreatitis have been depicted [2]- [8].…”

Section: Discussionmentioning

confidence: 99%

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Acute Pancreatitis during SARS CoV 2 Infection

Bassène¹,

Fall²,

Fall³

et al. 2023

OJGas

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Introduction: Covid-19 is a systemic disease that can spread to all systems. Among the gastrointestinal manifestations, pancreatic involvement can have a major prognostic impact. We report 3 acute pancreatitis cases occurring during Covid-19, in Dakar. Case 1: 65-year-old woman who presented with intense atypical epigastric pain. Physical examination revealed obesity, high blood pressure and abdominal tenderness. Biological tests found increase CRP (134 mg/l) and lipasemia (312 UI/l). Abdominal CT scan showed findings of Balthazar grade C acute pancreatitis. RT-PCR for SARS CoV 2 RT-PCR was positive. The outcome was favorable. Case 2: 56-year-old woman patient with history of nephroangiosclerosis who presented with dyspnea, cough, fever and moderate epigastric pain. Physical examination revealed epigastric tenderness, high blood pressure, anuria. Biological testing, noted increase CRP (96 mg/l), lipasemia (793 UI/l), creatinine (227 mg/l) and urea (3.84 g/l). Abdominal CT scan showed acute edematous pancreatitis findings. SARS CoV 2 RT PCR was positive. The outcome was favorable. Case 3: 27-year-old man who presented with physical asthenia, headache, and epigastric pain. Physical examination found epigastric tenderness. Elevated CRP level was of 102 mg/l and lipasemia level was of 427 UI/l (7N). Abdominal CT scan showed acute edematous pancreatitis findings. SARS CoV 2 RT PCR was positive. The outcome was favorable. Conclusion: Acute pancreatitis can occur during Covid-19 infection. However, the imputability to the Covid-19 disease necessitates to rule out the most common causes.

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Section: Discussionmentioning

confidence: 99%

“…Most common etiologies are mumps, coxsackievirus, Epstein-Barr virus and hepatitis A [2]. Since the beginning of the Covid-19 pandemic, many cases of acute pancreatitis have been depicted [2]- [8]. It was most common in patients with severe forms of the disease.…”

Section: Discussionmentioning

confidence: 99%

Acute Pancreatitis during SARS CoV 2 Infection

Bassène¹,

Fall²,

Fall³

et al. 2023

OJGas

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“…The association between COVID-19 and AP had already been reported by many North African authors (2 cases in Egypt, 4 cases in Morocco, 6 cases in Algeria). 7 , 8 , 27 , 34 , 39 …”

Section: Discussionmentioning

confidence: 99%

COVID-19 Induced Acute Pancreatitis in a Malagasy Woman Patient: Case Report and Literature Review

Razafindrazoto¹,

Laingonirina²,

Ralaizanaka³

et al. 2022

IMCRJ

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Background SARS-CoV-2 has been described as a respiratory tropic virus since its emergence in December 2019. During the course of the disease, other extra-pulmonary manifestations have been reported in the literature including pancreatic involvement such as acute pancreatitis. This phenomenon linking COVID-19 and acute pancreatitis has been reported by several case reports and cohort studies. No cases had been reported in sub-Saharan Africa and Madagascar. We report one more case Of COVID-19 induced acute pancreatitis in a Malagasy woman patient without risk factors, further consolidating the existing evidence. Case Presentation A 44-year-old woman was diagnosed with severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection and had a favorable course under home isolation and drug treatments. One week later, the patient was admitted to hospital with severe acute abdominal pain. Acute pancreatitis was considered according to the revised Atlanta criteria with the presence of the three criteria. Other etiologies of acute pancreatitis (lithiasis, alcohol, hypercalcemia, hypertriglyceridemia, tumor, trauma, surgery) were excluded. Ultimately, a COVID-19 induced acute pancreatitis was retained. The outcome was favorable under symptomatic medical treatment (fluid resuscitation, bowel rest, management of pain and vomiting, and early oral feeding). The patient was discharged after one week of hospitalization. Conclusion COVID-19 is a possible etiology of acute pancreatitis. Acute pancreatitis should be routinely ruled out in a patient with COVID-19 infection with acute abdominal pain.

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COVID-19 et la pancréatite aiguë

Cited by 2 publications

References 0 publications

Acute Pancreatitis during SARS CoV 2 Infection

Acute Pancreatitis during SARS CoV 2 Infection

COVID-19 Induced Acute Pancreatitis in a Malagasy Woman Patient: Case Report and Literature Review

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