一名患有严重冠状病毒病肺炎且接受静脉-静脉体外膜肺氧合治疗的患者发生胰腺炎。

Kurihara Yutaro, Maruhashi Takaaki, Wada Tatsuhiko, Osada Mayuko, Oi Marina, Yamaoka Kunihiro, Asari Yasushi

Department of Emergency and Critical Care Medicine, Kitasato University School of Medicine, Japan.

Department of Rheumatology and Infectious Diseases, Kitasato University School of Medicine, Japan.

Intern Med. 2020 Nov 15;59(22):2903-2906. doi: 10.2169/internalmedicine.5912-20. Epub 2020 Sep 19.

Severe coronavirus disease (COVID-19) can induce serious complications, including acute respiratory distress syndrome, septic shock, and acute kidney injury. However, few reports have associated COVID-19 with pancreatitis. We herein report the case of a 55-year-old patient who developed acute pancreatitis associated with severe COVID-19 pneumonia and was successfully treated with veno-venous extracorporeal membrane oxygenation (ECMO). Elevated pancreatic enzymes levels and computed tomography findings led to the diagnosis of acute pancreatitis due to COVID-19. Although we found that severe COVID-19 pneumonia can lead to pancreatitis, the underlying pathophysiology remains unknown.

重症冠状病毒病（COVID-19）可引发严重并发症，包括急性呼吸窘迫综合征、感染性休克和急性肾损伤。然而，很少有报告将COVID-19与胰腺炎相关联。我们在此报告一例55岁患者，该患者患与重症COVID-19肺炎相关的急性胰腺炎，并通过静脉-静脉体外膜肺氧合（ECMO）成功治疗。胰腺酶水平升高和计算机断层扫描结果导致诊断为COVID-19所致的急性胰腺炎。尽管我们发现重症COVID-19肺炎可导致胰腺炎，但其潜在病理生理学仍不清楚。