COVID-19 Associated Acute Pancreatitis: A Case Series from India.

ABSTRACT

INTRODUCTION: Initially, COVID-19 was typically concerned with respiratory symptoms and had a mild and asymptomatic to critical clinical course. Over time, many atypical presentations related to cardiac, hepatic, gastrointestinal, renal, musculoskeletal, and neurological features have been reported in COVID-19. CASE PRESENTATION We present three confirmed cases of COVID-19 who developed acute pancreatitis without any other obvious discernible cause. One middle-aged patient of 48-years old male presented with severe abdominal pain with mild symptoms, COVID-19, later diagnosed as acute pancreatitis with a positive outcome. Another 40-year-old male, hospitalized due to moderate COVID-19, developed acute pancreatitis and managed successfully. The third patient of 58 years old with control diabetes and severe COVID-19 developed acute necrotizing pancreatitis. Unfortunately, he succumbed due to multiorgan failure while on the mechanical ventilator. CONCLUSION: Acute pancreatitis is uncommon in COVID-19. Although, it should be kept as a high index clinical suspicion if abdominal pain is reported. Early diagnosis and prompt management can significantly impact the patient's outcome.