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Article ; Online: Acute pancreatitis and COVID-19: an integrative review of the literature.

Silva, Julyanne Tereza Cordeiro / Fonseca Neto, Olival Cirilo Lucena DA

Revista do Colegio Brasileiro de Cirurgioes

2023 Volume 50, Page(s) e20233559

Abstract: ... the correlation between acute pancreatitis and COVID-19 disease as a probable causality factor. An integrative ... in the pancreas is responsible for the direct cellular damage and that the hyperinflammatory state of COVID-19 ... literature review was carried out, including studies published between January 2020 and December 2022 ...

Abstract	The first cases of the COVID-19 disease were identified in late 2019 in China, but it didnt take long for it to become pandemic. At first, it was believed that it was restricted to respiratory symptoms only, until extrapulmonary manifestations were reported worldwide. Acute pancreatitis concomitant with the diagnosis of SARS-CoV-2 infection has been observed in some patients, in the absence of the most common etiologies described in the literature. It is postulated that the presence of the ECA-2 viral receptor in the pancreas is responsible for the direct cellular damage and that the hyperinflammatory state of COVID-19 favors the development of pancreatitis through an immune-mediated mechanism. This study aimed to analyze the correlation between acute pancreatitis and COVID-19 disease as a probable causality factor. An integrative literature review was carried out, including studies published between January 2020 and December 2022 that brought data on patients diagnosed with acute pancreatitis according to the revised Atlanta Classification with a confirmed diagnosis of COVID-19 in the same period. A total of thirty studies were reviewed. Demographic, clinical, laboratory and imaging aspects were analyzed and discussed. It is believed that SARS-CoV-2 was responsible for the development of acute pancreatitis in these patients, due to the absence of other precipitating risk factors, as well as the close temporal relationship between both. Attention should be given to gastrointestinal manifestations in patients affected by COVID-19.
MeSH term(s)	Humans ; COVID-19/complications ; Pancreatitis/complications ; Pancreatitis/diagnosis ; SARS-CoV-2 ; Acute Disease ; Pancreas
Language	Portuguese
Publishing date	2023-07-10
Publishing country	Brazil
Document type	Review ; Journal Article
ZDB-ID	2223714-8
ISSN	1809-4546 ; 1809-4546
ISSN (online)	1809-4546
ISSN	1809-4546
DOI	10.1590/0100-6991e-20233559-en
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Acute pancreatitis and COVID-19: A literature review.

Correia de Sá, Tiago / Soares, Carlos / Rocha, Mónica

World journal of gastrointestinal surgery

2021 Volume 13, Issue 6, Page(s) 574–584

Abstract: ... A systematic review of the literature revealed 22 cases of AP in COVID-19 patients. However, limitations ... extra-pulmonary effects. Pancreatic injury and cases of acute pancreatitis (AP) have been recognized and ... for the ongoing pandemic of coronavirus disease 2019 (COVID-19), and has caused more than 80 million infections ...

Abstract	Background: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is responsible for the ongoing pandemic of coronavirus disease 2019 (COVID-19), and has caused more than 80 million infections and 1.7 million deaths worldwide. Although it is primarily a respiratory virus, SARS-CoV-2 also has extra-pulmonary effects. Pancreatic injury and cases of acute pancreatitis (AP) have been recognized and attributed to SARS-CoV-2, but the mechanisms of pancreatic injury are still a subject of debate. There is also controversy on whether SARS-CoV-2 can cause AP or if it is an epiphenomenon. Aim: To review and to explore the relationship between SARS-CoV-2 infection and AP, and to provide an overview of the existing literature on possible mechanisms of SARS-CoV-2-induced pancreatic lesion. Methods: A systematic review was conducted in accordance with PRISMA guidelines for papers on SARS-CoV-2 infection and AP. A narrative review on possible mechanisms of SARS-CoV-2-induced pancreatic lesion was also performed. Results: A literature review revealed a growing body of evidence on SARS-CoV-2-induced pancreatic lesions including the mechanisms of direct virus-mediated injury, systemic inflammatory response and circulating pro-inflammatory interleukins, virus-induced lipotoxicity, and drug-induced injury. A systematic review of the literature revealed 22 cases of AP in COVID-19 patients. However, limitations of the reported cases make it difficult to establish a causal relationship between SARS-CoV-2 infection and AP. All of the studies agreed on special monitoring and surveillance of this subset of patients due to the still unknown clinical progression, therapeutic implications, and prognosis. Conclusion: AP should be considered in COVID-19 patients, especially in those exhibiting abdominal pain and systematic, and complete reporting of these cases should be general practice. However, there is still insufficient evidence showing that COVID-19 can cause AP or negatively impact prognosis. Additional studies are needed to clarify the relationship between these two entities and their theragnostic significance.
Language	English
Publishing date	2021-05-28
Publishing country	United States
Document type	Journal Article
ZDB-ID	2573700-4
ISSN	1948-9366
ISSN	1948-9366
DOI	10.4240/wjgs.v13.i6.574
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Article: Acute pancreatitis following COVID-19 vaccine: A case report and brief literature review.

Boskabadi, Seyyed Javad / Ala, Shahram / Heydari, Fatemeh / Ebrahimi, Mahbobeh / Jamnani, Alireza Nikzad

Heliyon

2023 Volume 9, Issue 1, Page(s) e12914

Abstract: ... vaccines may lead to acute pancreatitis. The mechanism of pancreatitis caused by COVID-19 vaccines is ... unclear. Acute pancreatitis can develop after COVID-19 vaccination. This process can even happen ... Vaccination is the most effective way to overcome COVID-19 morbidity and mortality. However, Covid ...

Abstract	Vaccination is the most effective way to overcome COVID-19 morbidity and mortality. However, Covid-19 vaccines may cause potential adverse effects. We reported a 28-year-old healthy woman who was referred to the emergency department with a chief complaint of severe abdominal pain, nausea and hemoptysis. She has received two doses of COVID-19 vaccine (Sinopharm BIBP). Similar this time, three days after the injection of the second dose of the Sinopharm BIBP COVID-19 vaccine, abdominal and flank pain appeared, for which she has referred to the emergency department. After necessary tests and pancreatitis was confirmed, we started fluid therapy, plasmapheresis, gemfibrozil and insulin for patient management. The COVID-19 vaccines may lead to acute pancreatitis. The mechanism of pancreatitis caused by COVID-19 vaccines is unclear. Acute pancreatitis can develop after COVID-19 vaccination. This process can even happen a few months later. Therefore, to better diagnosis and prevention of long-term complications, it is necessary to measuring the lipase or amylase in patients that received COVID-19 vaccine if abdominal pain was occurred.
Language	English
Publishing date	2023-01-14
Publishing country	England
Document type	Case Reports
ZDB-ID	2835763-2
ISSN	2405-8440
ISSN	2405-8440
DOI	10.1016/j.heliyon.2023.e12914
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Article: COVID-19 Induced Acute Pancreatitis in a Malagasy Woman Patient: Case Report and Literature Review.

Razafindrazoto, Chantelli Iamblaudiot / Hasina Laingonirina, Domoina Harivonjy / Ralaizanaka, Behoavy Mahafaly / Randriamifidy, Nitah Harivony / Rakotomaharo, Mialitiana / Randrianiaina, Antsa Fihobiana / Rakotoniaina, Henintsoa / Maherison, Sonny / Rakotomalala, Jolivet Auguste / Rasolonjatovo, Anjaramalala Sitraka / Rakotozafindrabe, Andry Lalaina Rinà / Rabenjanahary, Tovo Harimanana / Razafimahefa, Soloniaina Hélio / Ramanampamonjy, Rado Manitrala

International medical case reports journal

2022 Volume 15, Page(s) 125–134

Abstract: ... in the literature including pancreatic involvement such as acute pancreatitis. This phenomenon linking COVID-19 and ... reported in sub-Saharan Africa and Madagascar. We report one more case Of COVID-19 induced acute ... surgery) were excluded. Ultimately, a COVID-19 induced acute pancreatitis was retained. The outcome was ...

Abstract	Background: SARS-CoV-2 has been described as a respiratory tropic virus since its emergence in December 2019. During the course of the disease, other extra-pulmonary manifestations have been reported in the literature including pancreatic involvement such as acute pancreatitis. This phenomenon linking COVID-19 and acute pancreatitis has been reported by several case reports and cohort studies. No cases had been reported in sub-Saharan Africa and Madagascar. We report one more case Of COVID-19 induced acute pancreatitis in a Malagasy woman patient without risk factors, further consolidating the existing evidence. Case presentation: A 44-year-old woman was diagnosed with severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection and had a favorable course under home isolation and drug treatments. One week later, the patient was admitted to hospital with severe acute abdominal pain. Acute pancreatitis was considered according to the revised Atlanta criteria with the presence of the three criteria. Other etiologies of acute pancreatitis (lithiasis, alcohol, hypercalcemia, hypertriglyceridemia, tumor, trauma, surgery) were excluded. Ultimately, a COVID-19 induced acute pancreatitis was retained. The outcome was favorable under symptomatic medical treatment (fluid resuscitation, bowel rest, management of pain and vomiting, and early oral feeding). The patient was discharged after one week of hospitalization. Conclusion: COVID-19 is a possible etiology of acute pancreatitis. Acute pancreatitis should be routinely ruled out in a patient with COVID-19 infection with acute abdominal pain.
Language	English
Publishing date	2022-03-29
Publishing country	New Zealand
Document type	Case Reports
ZDB-ID	2495077-4
ISSN	1179-142X
ISSN	1179-142X
DOI	10.2147/IMCRJ.S355276
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Article: COVID-19 Induced Acute Pancreatitis: A Case Report and Literature Review.

Kataria, Saurabh / Sharif, Aftab / Ur Rehman, Asad / Ahmed, Zahoor / Hanan, Abdul

Cureus

2020 Volume 12, Issue 7, Page(s) e9169

Abstract: ... Although acute pancreatitis is rare in patients with COVID-19, it should be considered ... revealed pneumonic patches in the upper and lower segment of the left lung. Her COVID-19 testing came ... due to COVID-19 after carefully ruling out other causes. She was managed symptomatically, and ...

Abstract	A 49-year-old female with no history of past medical illness presented to the emergency department with complaints of fever, dry cough, and shortness of breath. Initial evaluation revealed a temperature of 101°F, and on auscultation, the patient had scattered wheezing and rales in left lung fields. CT of the chest revealed pneumonic patches in the upper and lower segment of the left lung. Her COVID-19 testing came positive. On the second day of hospital admission, the patient experienced nausea, vomiting, and severe epigastric pain radiating to back. Laboratory analysis revealed a marked elevation of lipase and amylase. CT of the abdomen showed an edematous pancreas with diffuse enlargement. She was diagnosed with acute pancreatitis due to COVID-19 after carefully ruling out other causes. She was managed symptomatically, and improvement in her clinical condition was observed and was discharged with outpatient follow-up. Although acute pancreatitis is rare in patients with COVID-19, it should be considered as a differential diagnosis in patients with severe epigastric pain and respiratory symptoms.
Keywords	covid19
Language	English
Publishing date	2020-07-13
Publishing country	United States
Document type	Case Reports
ZDB-ID	2747273-5
ISSN	2168-8184
ISSN	2168-8184
DOI	10.7759/cureus.9169
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Article ; Online: Acute pancreatitis following COVID-19 vaccine: A case report and brief literature review

Boskabadi, Seyyed Javad / Ala, Shahram / Heydari, Fatemeh / Ebrahimi, Mahbobeh / Jamnani, Alireza Nikzad

Heliyon. 2023 Jan., v. 9, no. 1 p.e12914-

2023

Abstract	Vaccination is the most effective way to overcome COVID-19 morbidity and mortality. However, Covid-19 vaccines may cause potential adverse effects. We reported a 28-year-old healthy woman who was referred to the emergency department with a chief complaint of severe abdominal pain, nausea and hemoptysis. She has received two doses of COVID-19 vaccine (Sinopharm BIBP). Similar this time, three days after the injection of the second dose of the Sinopharm BIBP COVID-19 vaccine, abdominal and flank pain appeared, for which she has referred to the emergency department. After necessary tests and pancreatitis was confirmed, we started fluid therapy, plasmapheresis, gemfibrozil and insulin for patient management. The COVID-19 vaccines may lead to acute pancreatitis. The mechanism of pancreatitis caused by COVID-19 vaccines is unclear. Acute pancreatitis can develop after COVID-19 vaccination. This process can even happen a few months later. Therefore, to better diagnosis and prevention of long-term complications, it is necessary to measuring the lipase or amylase in patients that received COVID-19 vaccine if abdominal pain was occurred.
Keywords	COVID-19 infection ; amylases ; carboxylic ester hydrolases ; case studies ; fluid therapy ; gemfibrozil ; insulin ; morbidity ; mortality ; nausea ; pain ; pancreatitis ; patients ; plasmapheresis ; vaccination ; vaccines ; women ; Acute pancreatitis ; COVID-19 ; Vaccination adverse event ; Sinopharm vaccine ; Safety
Language	English
Dates of publication	2023-01
Publishing place	Elsevier Ltd
Document type	Article ; Online
Note	Pre-press version ; Use and reproduction
ZDB-ID	2835763-2
ISSN	2405-8440
ISSN	2405-8440
DOI	10.1016/j.heliyon.2023.e12914
Database	NAL-Catalogue (AGRICOLA)

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Article: Acute Pancreatitis in Individuals with COVID-19: A Case Report and Critical Review of Literature.

Jamali, Arsia / Nemovi, Khashayar / Bayraktutar, Betul N / Farzaneh, Adam / Chan, Kevin / Ramirez, Carlos / Shahkamrani, Elika / Perumbeti, Anil

Case reports in medicine

2022 Volume 2022, Page(s) 1275287

Abstract: ... treatment of acute pancreatitis, hyperglycemia, and hypertension, her condition improved and she was ... Involvement of gastrointestinal tract has been reported in individuals diagnosed with COVID-19 ... end-stage renal disease undergoing hemodialysis who was initially diagnosed with COVID-19 on a screening test. During ...

Abstract	Involvement of gastrointestinal tract has been reported in individuals diagnosed with COVID-19. Herein, we report a case of 65-year-old woman with type 2 diabetes mellitus, hypertension, and end-stage renal disease undergoing hemodialysis who was initially diagnosed with COVID-19 on a screening test. During the course of the disease, her respiratory symptoms remained mild; however, she developed acute pancreatitis leading to severe hypertension and hyperosmolar hyperglycemic state. During the hospitalization and treatment of acute pancreatitis, hyperglycemia, and hypertension, her condition improved and she was discharged in stable condition.
Language	English
Publishing date	2022-06-18
Publishing country	United States
Document type	Case Reports
ZDB-ID	2502642-2
ISSN	1687-9635 ; 1687-9627
ISSN (online)	1687-9635
ISSN	1687-9627
DOI	10.1155/2022/1275287
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Article ; Online: Systemic lupus erythematosus with acute pancreatitis and vasculitic rash following COVID-19 vaccine: a case report and literature review.

N, Alrashdi Mousa / Saleh, Alanazi Majed / Khalid, Almoaqly / Alshaya, Abdulrahman Khaled / Alanazi, Sultan Mahja Marzouq

Clinical rheumatology

2022 Volume 41, Issue 5, Page(s) 1577–1582

Abstract: ... COVID-19 vaccine administration, and emerging IMDs may be identified over next few years after high use ... pancreatitis, and vasculitic skin rash on the extremities 1 week after the first dose of the Pfizer-BioNTech ... Coronavirus disease-19 (COVID-19) is a global pandemic that is caused by COVID-19 virus, which was ...

Abstract	Coronavirus disease-19 (COVID-19) is a global pandemic that is caused by COVID-19 virus, which was initially identified in December 2019 in Wuhan, China. Vaccination is one of the most effective public health interventions, and soon after the Pfizer/BioNTech (BNT162b2) vaccine became available late in 2020, it began to be actively used to fight against COVID-19. Since then, cases of vaccine-associated immune-mediated diseases (IMDs) have been reported. There have been few cases of IMD flare-ups or onset after COVID-19 vaccine administration, and emerging IMDs may be identified over next few years after high use of this vaccine. To this day, few cases of newly diagnosed systemic lupus erythematosus (SLE) following COVID-19 vaccine exposure were reported. Herein, we present the case of a patient diagnosed with SLE, acute pancreatitis, and vasculitic skin rash on the extremities 1 week after the first dose of the Pfizer-BioNTech COVID-19 vaccine. Key Point • COVID-19 Vaccine induced Systemic Lupus Erythematosus.
MeSH term(s)	Acute Disease ; BNT162 Vaccine ; COVID-19 ; COVID-19 Vaccines/adverse effects ; Exanthema/etiology ; Humans ; Lupus Erythematosus, Systemic/complications ; Pancreatitis/etiology
Chemical Substances	COVID-19 Vaccines ; BNT162 Vaccine (N38TVC63NU)
Language	English
Publishing date	2022-02-17
Publishing country	Germany
Document type	Case Reports ; Journal Article ; Review
ZDB-ID	604755-5
ISSN	1434-9949 ; 0770-3198
ISSN (online)	1434-9949
ISSN	0770-3198
DOI	10.1007/s10067-022-06097-z
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Novel Coronavirus (COVID-19) Infection-Attributed Acute Pancreatitis: A Case Report and Literature Review.

Chandra, Rohit / Lazar, Nicholas J / Goldman, Seth / Imam, Zaid / Mansour, Ramy

Cureus

2021 Volume 13, Issue 6, Page(s) e15725

Abstract: ... of COVID-19-attributed acute pancreatitis. ... 19-attributed acute pancreatitis, as well as a comprehensive assessment of previously reported cases ... into COVID-19 infection-associated gastrointestinal symptoms remains fluid. COVID-19-induced acute ...

Abstract	Novel coronavirus (COVID-19) has spread widely across the world inducing a global health crisis. Predominant signs of infection involve respiratory symptoms such as cough and dyspnea. Investigation into COVID-19 infection-associated gastrointestinal symptoms remains fluid. COVID-19-induced acute pancreatitis has been recorded from greater than 20 countries at this time. Herein, we submit a case of COVID-19-attributed acute pancreatitis, as well as a comprehensive assessment of previously reported cases of COVID-19-attributed acute pancreatitis.
Language	English
Publishing date	2021-06-17
Publishing country	United States
Document type	Case Reports
ZDB-ID	2747273-5
ISSN	2168-8184
ISSN	2168-8184
DOI	10.7759/cureus.15725
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Article: Acute Recurrent Pancreatitis and COVID-19 Infection: A Case Report with Literature Review.

Sandhu, Harindra / Mallik, Dhiraj / Lokavarapu, Manoj Joshua / Huda, Farhanul / Basu, Somprakas

Cureus

2021 Volume 13, Issue 2, Page(s) e13490

Abstract: ... disease 2019 (COVID-19) presenting as acute pancreatitis is rare. There are several etiological factors ... for acute recurrent pancreatitis, but its association with COVID-19 disease is not yet known. We present ... an unusual case of recurrent attacks of acute pancreatitis in a young woman with SARS-CoV-2 infection ...

Abstract	Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection typically presents with respiratory symptoms, although presentation with gastrointestinal symptoms is not uncommon. Coronavirus disease 2019 (COVID-19) presenting as acute pancreatitis is rare. There are several etiological factors for acute recurrent pancreatitis, but its association with COVID-19 disease is not yet known. We present an unusual case of recurrent attacks of acute pancreatitis in a young woman with SARS-CoV-2 infection, which was diagnosed early but had a rapid downhill course in the second attack with a fatal outcome.
Language	English
Publishing date	2021-02-22
Publishing country	United States
Document type	Case Reports
ZDB-ID	2747273-5
ISSN	2168-8184
ISSN	2168-8184
DOI	10.7759/cureus.13490
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