tetano
Editor, Senior Moderator
Cureus
. 2023 Jan 12;15(1):e33717.
doi: 10.7759/cureus.33717. eCollection 2023 Jan.
Rapidly Progressive Emphysematous Pancreatitis With Massive Hemorrhage and Multi-Organ Failure: A Severe Sequela of COVID-19
Raghav Bassi[SUP] 1 [/SUP], Hamza Alzghoul[SUP] 2 [/SUP], Kipson Charles[SUP] 1 [/SUP], Ariel Ruiz de Villa[SUP] 2 [/SUP], Charles R Russell[SUP] 3 [/SUP], Peters Okonoboh[SUP] 4 [/SUP]
Affiliations
Abstract
The COVID-19 global pandemic continues to wreak havoc on a number of affected patients and poses a significant burden on the healthcare system. Even though it has been over two years since the pandemic emerged, clinical presentations in affected patients continue to appall clinicians. Emphysematous pancreatitis is a rare, fatal complication of acute necrotizing pancreatitis presenting with a high mortality rate. This rare entity stems from superinfection of acute necrotizing pancreatitis with gram-negative bacteria, most commonly from Escherichia coli (E. coli), among others. Herein, we present a rare case of acute necrotizing pancreatitis complicated by emphysematous necrosis with hemorrhagic conversion and E. coli septicemia in a 60-year-old morbidly obese male patient without any underlying risk factors. He presented with respiratory failure in the setting of COVID-19 and was subsequently diagnosed with acute necrotizing pancreatitis complicated by emphysematous necrosis. To our knowledge, emphysematous pancreatitis in the setting of COVID-19 with no other attributable causes for pancreatitis was not previously reported in the literature. This article aims to report an unusual association between COVID-19 infection and acute emphysematous pancreatitis with evidence of hemorrhagic conversion. Furthermore, given the neoteric nature of this viral infection, we hope to promote sensitivity toward capturing additional clinical features associated with active COVID-19 infection, with the goal to keep clinicians abreast with its many possible sequelae.
Keywords: acute necrotizing pancreatitis; acute respiratory distress syndrome [ards]; coronavirus disease (covid-19); hemorrhagic pancreatitis; multiorgan system failure; severe sepsis.
. 2023 Jan 12;15(1):e33717.
doi: 10.7759/cureus.33717. eCollection 2023 Jan.
Rapidly Progressive Emphysematous Pancreatitis With Massive Hemorrhage and Multi-Organ Failure: A Severe Sequela of COVID-19
Raghav Bassi[SUP] 1 [/SUP], Hamza Alzghoul[SUP] 2 [/SUP], Kipson Charles[SUP] 1 [/SUP], Ariel Ruiz de Villa[SUP] 2 [/SUP], Charles R Russell[SUP] 3 [/SUP], Peters Okonoboh[SUP] 4 [/SUP]
Affiliations
- PMID: 36788852
- PMCID: PMC9922199
- DOI: 10.7759/cureus.33717
Abstract
The COVID-19 global pandemic continues to wreak havoc on a number of affected patients and poses a significant burden on the healthcare system. Even though it has been over two years since the pandemic emerged, clinical presentations in affected patients continue to appall clinicians. Emphysematous pancreatitis is a rare, fatal complication of acute necrotizing pancreatitis presenting with a high mortality rate. This rare entity stems from superinfection of acute necrotizing pancreatitis with gram-negative bacteria, most commonly from Escherichia coli (E. coli), among others. Herein, we present a rare case of acute necrotizing pancreatitis complicated by emphysematous necrosis with hemorrhagic conversion and E. coli septicemia in a 60-year-old morbidly obese male patient without any underlying risk factors. He presented with respiratory failure in the setting of COVID-19 and was subsequently diagnosed with acute necrotizing pancreatitis complicated by emphysematous necrosis. To our knowledge, emphysematous pancreatitis in the setting of COVID-19 with no other attributable causes for pancreatitis was not previously reported in the literature. This article aims to report an unusual association between COVID-19 infection and acute emphysematous pancreatitis with evidence of hemorrhagic conversion. Furthermore, given the neoteric nature of this viral infection, we hope to promote sensitivity toward capturing additional clinical features associated with active COVID-19 infection, with the goal to keep clinicians abreast with its many possible sequelae.
Keywords: acute necrotizing pancreatitis; acute respiratory distress syndrome [ards]; coronavirus disease (covid-19); hemorrhagic pancreatitis; multiorgan system failure; severe sepsis.