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COVID-19 associated pancreatitis: A mini case-series
Jessica Schembri Higgans1, Sarah Bowman1, Jo-Etienne Abela1
1Department of Surgery, Mater Dei Hospital, Dun Karm St, Msida MSD2090, Malta.
International Journal of Surgery Case Reports
|September 27, 2021
Summary
COVID-19 infection can cause acute pancreatitis. This study presents three cases of acute pancreatitis in patients with COVID-19, highlighting the virus as a potential cause of pancreatic injury.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Virology
Background:
- Viral infections are recognized causes of acute pancreatitis.
- The SARS-CoV-2 virus has been implicated in pancreatic injury, potentially leading to acute pancreatitis.
Observation:
- Three patients aged 63-87 years with no prior pancreatitis history were diagnosed with acute pancreatitis and COVID-19.
- Diagnosis followed revised Atlanta criteria; other etiologies were ruled out.
- Patients were unvaccinated against SARS-CoV-2 and received supportive care, with a mean hospital stay of 4 days.
Findings:
- Acute pancreatitis was diagnosed in three COVID-19 positive patients.
- No other risk factors for pancreatitis were identified in these cases.
- One patient had mild hypertriglyceridemia and was on low-dose atorvastatin, a low-risk factor for pancreatitis.
Implications:
- These cases support the hypothesis that SARS-CoV-2 can cause acute pancreatitis.
- Further global research is needed to establish a definitive causal link between COVID-19 and acute pancreatitis.
- This adds to the growing body of evidence linking viral infections to pancreatic damage.
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