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Case reports in hepatology v.2013, 2013년, pp.1 - 3  

Acute Pancreatitis Complicating Acute Hepatitis E Virus Infection: A Case Report and Review

Nayak, Hemanta Kumar (LN Hospital, Maulana Azad Medical College, New Medical Block, Room No. 121, New Delhi 110002, India ) ; Kamble, Nitish L. (LN Hospital, Maulana Azad Medical College, New Medical Block, Room No. 121, New Delhi 110002, India ) ; Raizada, Nishant (LN Hospital, Maulana Azad Medical College, New Medical Block, Room No. 121, New Delhi 110002, India ) ; Garg, Sandeep (LN Hospital, Maulana Azad Medical College, New Medical Block, Room No. 121, New Delhi 110002, India ) ; Daga, Mradul Kumar (LN Hospital, Maulana Azad Medical College, New Medical Block, Room No. 121, New Delhi 110002, India ) ;
  • 초록  

    Acute pancreatitis complicating fulminant viral hepatitis has been well recognized; however, acute pancreatitis occurring in nonfulminant hepatitis is very rare. The case presented describes moderate pancreatitis in a young male, manifesting during the course of nonfulminant acute hepatitis E infection. The diagnosis of acute viral hepatitis E was confirmed by serology and reverse transcriptase polymerase chain reaction (RT-PCR) to demonstrate Hepatitis E virus (HEV) RNA in both stool and serum. Patients with acute viral hepatitis presenting with severe abdominal pain should have a diagnosis of acute pancreatitis suspected and appropriate investigations including serum amylase, lipase, biliary ultrasonography and/or contrast-enhanced computed tomography of the abdomen should be undertaken. The identification of this unusual complication of Hepatitis E is important; however, the prognosis for patients with Acute Pancreatitis Complicating Acute Hepatitis E Virus Infection is good, and uncomplicated recovery with conservative treatment is expected.


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