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伴有 COVID-19 的急性胰腺炎。

Acute pancreatitis in a patient with COVID-19.

机构信息

Department of Surgery, Salmaniya Medical Complex, Manama, Bahrain

Department of Surgery, Salmaniya Medical Complex, Manama, Bahrain.

出版信息

BMJ Case Rep. 2021 Feb 11;14(2):e239656. doi: 10.1136/bcr-2020-239656.

Abstract

COVID-19 mainly causes pulmonary disease. Involvement of gastrointestinal and hepatobiliary systems, among other systems, has been reported. We report a case of acute pancreatitis in a patient with resolving COVID-19 pneumonia. History taking and investigations excluded other causes of pancreatitis. This case demonstrates the possibility of pancreatic injury in patients with COVID-19, in line with previously reported similar cases. We believe that it is imperative to screen patients presenting with acute pancreatitis for SARS-CoV-2. It is also important to take into consideration that patients with a complicated course who require an invasive procedure such as drainage might pose a risk of transmission to the operating surgeon or interventionist.

摘要

COVID-19 主要引起肺部疾病。也有报道称,它还会累及胃肠道和肝胆系统等其他系统。我们报告了一例 COVID-19 肺炎治愈后发生的急性胰腺炎病例。通过询问病史和相关检查,排除了其他胰腺炎病因。该病例提示 COVID-19 患者可能存在胰腺损伤,与既往报道的类似病例一致。我们认为,对于出现急性胰腺炎的患者,筛查 SARS-CoV-2 非常必要。此外,还应考虑到那些需要进行引流等有创操作的病情复杂的患者,可能会给手术医生或介入医生带来传播风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca72/7880111/3f2b1701650b/bcr-2020-239656f01.jpg

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