Department of Anesthesiology and Intensive Care, Ibn Rochd University Hospital of Casablanca, Hassan II University, Casablanca, Morocco.
Pan Afr Med J. 2020 Oct 13;37:150. doi: 10.11604/pamj.2020.37.150.25873. eCollection 2020.
The SARS-CoV-2 primarily attacks the respiratory system and the most common symptoms include cough, shortness of breath, and fever. However, its tropism for the digestive system has been demonstrated and its clinical digestive manifestations are increasingly recognized. Nevertheless, little attention has been paid to pancreatic lesions included in SARS-CoV-2 infection. This case describes the presentation of acute pancreatitis as a complication associated with SARS-CoV-2 infection and the importance of looking for this complication in any patient with COVID-19. Data was collected from a patient admitted with COVID-19 to intensive care in July 2020. The patient was diagnosed with acute pancreatitis associated with SARS-CoV-2. Other causes of acute pancreatitis were excluded for both patients (including alcohol, obstruction/gallstones, drugs, trauma, hypertriglyceridemia, hypercalcemia). This case highlights acute pancreatitis as a complication associated with COVID-19 and highlights the importance of measuring lipasemia and performing an abdominal computed tomography (CT) scan in patients with COVID-19.
新型冠状病毒主要攻击呼吸系统,最常见的症状包括咳嗽、呼吸急促和发热。然而,它对消化系统的趋向性已经得到证实,其临床消化系统表现也越来越受到认识。然而,人们对包括在新型冠状病毒感染中的胰腺病变关注甚少。本病例描述了急性胰腺炎作为新型冠状病毒感染相关并发症的表现,以及在任何 COVID-19 患者中寻找这种并发症的重要性。数据来自 2020 年 7 月因 COVID-19 入住重症监护病房的患者。该患者被诊断为与 SARS-CoV-2 相关的急性胰腺炎。排除了患者(包括酒精、梗阻/胆石症、药物、创伤、高三酰甘油血症、高钙血症)急性胰腺炎的其他病因。本病例强调了急性胰腺炎作为 COVID-19 相关并发症的重要性,并强调了在 COVID-19 患者中测量脂肪酶和进行腹部计算机断层扫描(CT)的重要性。