Khataniar Himsikhar, Vellankal Shreya
Department of Internal Medicine, St. John's Medical College, Bengaluru, India.
ACG Case Rep J. 2023 Sep 23;10(9):e01152. doi: 10.14309/crj.0000000000001152. eCollection 2023 Sep.
Dengue fever can lead to a range of symptoms, including severe manifestations such as dengue hemorrhagic fever. We report a rare case of severe dengue with hemorrhagic pancreatitis and pseudocyst formation in a 28-year-old woman. Initially presenting with fever, abdominal pain, and gastrointestinal symptoms, the patient developed worsening pain, vomiting, and an abdominal mass. Imaging revealed a pancreatic mass, and elevated amylase and lipase confirmed pancreatitis. Interventional radiology drained the hemorrhagic fluid from the suspected pseudocyst, leading to patient improvement and eventual discharge. This uncommon complication of acute hemorrhagic pancreatitis in dengue fever has not been previously documented.
登革热可导致一系列症状,包括诸如登革出血热等严重表现。我们报告了一例罕见的严重登革热病例,该病例发生在一名28岁女性身上,伴有出血性胰腺炎和假性囊肿形成。患者最初表现为发热、腹痛和胃肠道症状,随后疼痛加剧、出现呕吐及腹部肿块。影像学检查发现胰腺有肿块,淀粉酶和脂肪酶升高证实存在胰腺炎。介入放射学操作从疑似假性囊肿中引流出血性液体,使患者病情好转并最终出院。登革热中急性出血性胰腺炎的这种罕见并发症此前未见报道。