Presentation
Epigastric pain and vomiting. Preceding history of fever 10 days ago.
Patient Data
Age: 10 years
Gender: Male
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The pancreas appears mildly bulky and oedematous with peripancreatic inflammatory changes and fluid collection. No evidence of pancreatic/peripancreatic necrosis was seen. Mild ascites. Mild gall bladder wall oedema and periportal oedema, likely reactive.
Suggestive of acute interstitial oedematous pancreatitis (modified CT severity index 6/10).
From the case:
Acute viral (hepatitis A) pancreatitis
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Anti-hepatitis A (HAV) IgM was positive at 2.05.
Case Discussion
The serum amylase and lipase of this patient were very high and the anti-HAV IgM antibody was positive.
Viral infection is one of the most common causes of pancreatitis in the paediatric age group.
Co-author: Dr. Vivek Ranjan (Consultant paediatrician).
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