Hepatitis viruses causing pancreatitis and hepatitis: a case series and review of literature.

Abstract:

OBJECTIVES:Association between acute pancreatitis and acute viral hepatitis (AVH) is more frequent than previously thought. Most cases are hepatitis A or B virus related. Only 6 cases of acute pancreatitis with acute hepatitis E virus (HEV)-related hepatitis has been reported so far. METHODS:We analyzed the hospital records of 334 patients of acute pancreatitis admitted from December 2004 to March 2006. Seven patients had an associated AVH. RESULTS:Of these, 4 had HEV-related and 3 had hepatitis A virus-related AVH. All but one were young males who presented with abdominal pain during the second to third week of hepatitis illness. None had a history of biliary colic, alcoholism, abdominal trauma, or intake of drugs causing pancreatitis or a family history of pancreatitis. Mean bilirubin was 10.74 mg/dL; alanine aminotransferase levels, 482.85 IU/L; and serum amylase, 1263.57 IU/L. All patients had an imaging evidence of pancreatitis. Two patients with HEV-related disease had grades D to E pancreatitis. All were managed conservatively and recovered completely. CONCLUSIONS:Association between acute pancreatitis and nonfulminant viral hepatitis is now more frequently recognized. Seen more commonly in young males during the second and third week of hepatitis illness, HEV might be associated with severe pancreatitis.

journal_name

Pancreas

journal_title

Pancreas

authors

Bhagat S,Wadhawan M,Sud R,Arora A

doi

10.1097/MPA.0b013e31815d9d53

subject

Has Abstract

pub_date

2008-05-01 00:00:00

pages

424-7

issue

4

eissn

0885-3177

issn

1536-4828

pii

00006676-200805000-00014

journal_volume

36

pub_type

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