title: Acute pancreatitis in acute viral hepatitis.
abstract: OBJECTIVE
  To elucidate the frequency and characteristics of pancreatic involvement in the course of acute (nonfulminant) viral hepatitis.
  
  
  METHODS
  We prospectively assessed the pancreatic involvement in patients with acute viral hepatitis who presented with severe abdomimanl pain.
  
  
  RESULTS
  We studied 124 patients with acute viral hepatitis, of whom 24 presented with severe abdominal pain. Seven patients (5.65%) were diagnosed to have acute pancreatitis. All were young males. Five patients had pancreatitis in the first week and two in the fourth week after the onset of jaundice. The pancreatitis was mild and all had uneventful recovery from both pancreatitis and hepatitis on conservative treatment. The etiology of pancreatitis was hepatitis E virus in 4, hepatitis A virus in 2, and hepatitis B virus in 1 patient. One patient had biliary sludge along with HEV infection. The abdominal pain of remaining seventeen patients was attributed to stretching of Glisson's capsule.
  
  
  CONCLUSIONS
  Acute pancreatitis occurs in 5.65% of patients with acute viral hepatitis, it is mild and recovers with conservative management.
authors.affiliation: Department of Gastroenterology, SMS Medical College, Jaipur, Rajasthan, India.
authors.forename: Pankaj
authors.initials: P
authors.lastname: Jain
authors.forename: Sandeep
authors.initials: S
authors.lastname: Nijhawan
authors.forename: Ramesh Roop
authors.initials: RR
authors.lastname: Rai
authors.forename: Subhash
authors.initials: S
authors.lastname: Nepalia
authors.forename: Amit
authors.initials: A
authors.lastname: Mathur
mesh_terms: D000005:Abdomen / Q000000981:diagnostic imaging; D015746:Abdominal Pain / Q000097:blood / Q000175:diagnosis / Q000209:etiology; D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D000368:Aged; D000681:Amylases / Q000097:blood; D002648:Child; D005260:Female; D006506:Hepatitis A / Q000150:complications*; D006509:Hepatitis B / Q000150:complications*; D016751:Hepatitis E / Q000150:complications*; D006801:Humans; D008049:Lipase / Q000097:blood; D008297:Male; D008875:Middle Aged; D010195:Pancreatitis / Q000097:blood / Q000175:diagnosis / Q000209:etiology*; D015995:Prevalence; D011446:Prospective Studies; D014463:Ultrasonography
chemical_list: D008049:Lipase; D000681:Amylases