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2003, Number 2

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Cir Gen 2003; 25 (2)

Acute pancreatitis associated to non-fulminant hepatitis A. Report on one case

Cárdenas LLE, Herrera EJJ, Mijares GJM, Vick FR, Hernández RCB, Moreno GA, Ortega CL

Language: Spanish
References: 51
Page: 158-162
PDF size: 80.69 Kb.


ABSTRACT

Objective: To report a case of acute pancreatitis associated to a viral hepatitis A infection in a young man.
Setting: Third level health care hospital.
Report of the case: A 17 years old man admitted to the hospital after 5 days of abdominal pain, jaundice, nausea, vomiting, and fever, without antecedents of other frequent causes of pancreatitis. Physical exploration revealed jaundice in sclerae and mild dehydration. The abdomen was painful to palpation, with muscular resistance and rebound hypersensitivity in the epigastrium and mild hepatomegaly. Laboratory tests at admittance revealed increase in direct bilirubin, aminotransferase aspartate, alanine aminotransferase, amylase, and serum lipase. Abdominal ultrasound revealed an increased pancreas size and decrease in echogenicity; gallbladder and biliary tract were normal. Lipid profile was normal and the search for microcrystals was negative. The presence of IgM antibodies to hepatitis was evidenced. Ranson score was of 1, whereas scores of APACHE II at admittance and at 48 hours were of 2 and 3, respectively. The event was resolved without complications with medical treatment and the patient was released from the hospital after 3 days.
Conclusion: Acute pancreatitis associated to viral hepatitis A is an uncommon association, with only 16 cases published in the international medical literature. At present no direct evidence exists that the hepatitis A virus is a cause for acute pancreatitis.


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