COVID-19 Presenting as Acute Necrotizing Pancreatitis

Arbati, Mohammad Mohammadi; Molseghi, Mohammad Hadi

doi:10.1177/23247096211009393

Cited by 19 publications

(11 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This was similar to the previous case reports provided by Kandasamy et al [ 5 ], Al Mazrouei et al [ 7 ], Wang et al [ 12 ], Gupta et al [ 17 ], and Lakshmanan et al [ 18 ]. On the other hand, it was different from the previous rare case report provided by Mohammadi Arbati et al [ 15 ] which described an acute necrotizing form of pancreatitis with COVID-19 infection.…”

Section: Discussioncontrasting

confidence: 78%

“…This matched the previous case reports provided by Kandasamy et al [ 5 ], Karimzadeh et al [ 13 ] and Wang et al [ 14 ]. On the other hand, this was different from the previous case reports provided by Al Mazrouei et al [ 7 ], Mohammadi Arbati et al [ 15 ], Anand et al [ 16 ], Gupta et al [ 17 ], and Lakshmanan et al [ 18 ], where the COVID-19 infection preceded the diagnosis of acute pancreatitis.…”

Section: Discussioncontrasting

confidence: 74%

See 1 more Smart Citation

COVID-19 infection initially presented by interstitial edematous pancreatitis and acute peri-pancreatic collection; the first CT case report in Egypt

Samir

Elnekeidy

El-Kady

2021

Egypt J Radiol Nucl Med

View full text Add to dashboard Cite

Background The extra-pulmonary computed tomography (CT) findings of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) or coronavirus disease 2019 (COVID-19) have been described in the literature, including the neurologic, cardiac, and abdominal manifestations. Ischemic and inflammatory bowel changes were the most frequent abdominal CT findings. Acute pancreatitis was seldom found all over the world outside of China and described in case reports, but not in Egypt. Case presentation A 44-years-old female patient presented with severe abdominal pain, vomiting, and mild fever for six days. No respiratory symptoms were encountered till the time of the radiological investigation. Abdominal CT examination revealed interstitial edematous pancreatitis with acute peri-pancreatic fluid collection according to the revised Atlanta classification. No pancreatic necrosis or vascular complications were depicted. Secondary pyloro-duodenitis was noticed. The modified Balthazar CT-severity index was moderate (6/10). Basal chest scans showed bilateral variable-sized bronchocentric and sub-pleural consolidative pneumonic patches with mild bilateral pleural effusion. The patient was admitted to the intensive-care unit (ICU) for two weeks. The serum amylase and lipase titers were elevated and the polymerase chain reaction (PCR) test for COVID-19 was positive. She received pancreatic, circulatory, and pulmonary medical support, then she was discharged after stabilization of her condition. Conclusion The authors provided this case report for the association between COVID-19 infection and acute pancreatitis, which is mostly the first in Egypt. It documented their Egyptian experience to be added to the international literature. It radiologically described their chest and abdominal CT findings in detail using the COVID-19 Reporting and Data System (CO-RADS) and the revised Atlanta classification with modified Balthazar CT-severity index (CTSI). This could eventually enrich the radiological point of view in addition to the previously published clinical case reports.

show abstract

Section: Discussioncontrasting

confidence: 78%

Section: Discussioncontrasting

confidence: 74%

COVID-19 infection initially presented by interstitial edematous pancreatitis and acute peri-pancreatic collection; the first CT case report in Egypt

Samir

Elnekeidy

El-Kady

2021

Egypt J Radiol Nucl Med

View full text Add to dashboard Cite

show abstract

“…The exact pathophysiology of acute pancreatitis in corona virus disease is still exactly not known. However, Angiotensin receptor-converting enzyme-2 (ACE2) and transmembrane serine protease 2 (TMPRSS2) has been linked to the pathogenesis of acute pancreatitis in corona virus disease [ 9 ]. ACE2 expression is usually found in pancreatic islets, exocrine gland and ductal cells while TMPRSS2 is mainly expressed in ductal cells [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

Coronavirus disease 2019 (COVID 19) induced acute necrotizing pancreatitis in a female child: A case report

Pandit¹,

Khanal

et al. 2022

Annals of Medicine &Amp; Surgery

View full text Add to dashboard Cite

“…The novel coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), most commonly presents with fever/chills, malaise, and dry cough. In some instances, adult patients with COVID-19 have presented with acute pancreatitis in the absence of respiratory symptoms ( 1 ). We report a case of severe acute necrotizing pancreatitis associated with COVID-19 in an adolescent female.…”

Section: Introductionmentioning

confidence: 99%

Severe Necrotizing Pancreatitis in a Pediatric Patient with COVID-19: A Case Report

Mostafavi

Miller

et al. 2023

JPGN Reports

View full text Add to dashboard Cite

We describe a 15-year-old female diagnosed with necrotizing pancreatitis in the setting of coronavirus disease 2019 with severe complications including splenic vein and portal vein thromboses, pleural effusion requiring chest tube, acute hypoxic respiratory failure requiring noninvasive positive-pressure ventilation, and new-onset insulin-dependent diabetes mellitus, requiring over a month-long hospitalization. Following discharge, the patient experienced a prolonged loss of appetite, nausea, and extreme weight loss., During her prolonged hospitalization, she was diagnosed with necrotizing pancreatitis with walled-off collection which was ultimately treated with transgastric endoscopic ultrasound-guided drainage, multiple endoscopic necrosectomies, lumen-apposing metal stents, and double-pigtail plastic stent. Nine months after her initial presentation, patient’s clinical symptoms improved, and her weight stabilized. This case highlights the importance of recognizing acute and necrotizing pancreatitis and its morbidities as complications associated with coronavirus disease 2019.

show abstract

COVID-19 Presenting as Acute Necrotizing Pancreatitis

Cited by 19 publications

References 6 publications

COVID-19 infection initially presented by interstitial edematous pancreatitis and acute peri-pancreatic collection; the first CT case report in Egypt

COVID-19 infection initially presented by interstitial edematous pancreatitis and acute peri-pancreatic collection; the first CT case report in Egypt

Coronavirus disease 2019 (COVID 19) induced acute necrotizing pancreatitis in a female child: A case report

Severe Necrotizing Pancreatitis in a Pediatric Patient with COVID-19: A Case Report

Contact Info

Product

Resources

About