Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2020 Sep 7;13(9):e237903.
doi: 10.1136/bcr-2020-237903.

Coronavirus disease-19 (COVID-19) associated with acute necrotising pancreatitis (ANP)

Naren K Kumaran #  1 , Biraj K Karmakar #  2 , Ormond M Taylor  2
Affiliations
Case Reports

Coronavirus disease-19 (COVID-19) associated with acute necrotising pancreatitis (ANP)

Naren K Kumaran et al. BMJ Case Rep. .

Abstract

Coronavirus is a severe infectious disease (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and has led to increased mortality worldwide. Multiple reports have been published citing that gastrointestinal symptoms are common in patients with COVID-19 infection. It has also been found that the ACE2 receptor of SARS-CoV-2 is expressed more in the pancreas than the lungs. Despite this, little attention has been paid to the extent and details of pancreatic injury caused by COVID-19. Lack of awareness regarding the COVID-19 status of patients presenting with pancreatitis may expose healthcare workers to SARS-CoV-2 while performing interventions to manage complications of pancreatitis such as necrosis. We report a case of COVID-19-induced acute necrotising pancreatitis in the absence of any known risk factors.

Keywords: gastrointestinal surgery; general surgery; global health; infectious diseases; pancreatitis.

PubMed Disclaimer

Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
CT abdomen and pelvis with contrast.
Figure 2
Figure 2
CT angiogram.
Figure 3
Figure 3
Vital signs before transfer to intensive care unit. ACVPU, Alert, Confused, responding to Voice, responding to Pain, Unresponsive; SATS, saturation.
Figure 4
Figure 4
Semierect chest x-ray.
Figure 5
Figure 5
Vital signs just after patient was stepped down to the ward. BP, blood pressure.
See this image and copyright information in PMC

References

    1. Who.int. 2020 Coronavirus. Available: https://www.who.int/health-topics/coronavirus#tab=tab_1
    1. Who coronavirus disease (COVID-19) Dashboard, 2020. Available: https://covid19.who.int/ [Accessed 29 Jun 2020].
    1. Zhu J, Ji P, Pang J, et al. Clinical characteristics of 3062 COVID‐19 patients: a meta‐analysis. J Med Virol 2020;54 10.1002/jmv.25884 - DOI - PMC - PubMed
    1. Pan L, Mu M, Yang P, et al. Clinical characteristics of COVID-19 patients with digestive symptoms in Hubei, China. Am J Gastroenterol 2020;115:766–73. 10.14309/ajg.0000000000000620 - DOI - PMC - PubMed
    1. Banks PA, Bollen TL, Dervenis C, et al. Classification of acute pancreatitis--2012: revision of the Atlanta classification and definitions by international consensus. Gut 2013;62:102–11. 10.1136/gutjnl-2012-302779 - DOI - PubMed

Publication types