Acute pancreatitis complicating acute hepatitis e virus infection: a case report and review.
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.
LN Hospital, Maulana Azad Medical College, New Medical Block, Room No. 121, New Delhi 110002, India.
Hemanta Kumar
HK
Nayak
LN Hospital, Maulana Azad Medical College, New Medical Block, Room No. 121, New Delhi 110002, India.
Nitish L
NL
Kamble
LN Hospital, Maulana Azad Medical College, New Medical Block, Room No. 121, New Delhi 110002, India.
Nishant
N
Raizada
LN Hospital, Maulana Azad Medical College, New Medical Block, Room No. 121, New Delhi 110002, India.
Sandeep
S
Garg
LN Hospital, Maulana Azad Medical College, New Medical Block, Room No. 121, New Delhi 110002, India.
Mradul Kumar
MK
Daga