Abstract
Majority of acute viral hepatitis cases resolve spontaneously in due course of time. Few cases that develop acute liver failure are prone to develop various complications, including acute pancreatitis. However, development of acute pancreatitis in patients with uncomplicated acute viral hepatitis is very rare and extremely rare in case of Acute Hepatitis B. In this case, a young boy with acute non-fulminant hepatitis B developed acute moderately severe pancreatitis, diagnosed by clinical, enzymatic and radiological features. He was managed conservatively and improved. Acute pancreatitis must be considered in patients with acute viral hepatitis who develop abdominal pain.Bangladesh Journal of Medical Science Vol.16(3) 2017 p.455-457
Highlights
Viral infection by hepatotropic viruses results in acute viral hepatitis, uncomplicated in most cases
Mumps, Coxsackie virus, hepatitis B, cytomegalovirus, varicella-zoster, herpes simplex are known to be associated with acute pancreatitis (AP) 1
Most cases of acute pancreatitis related to hepatitis viruses had been reported in association with acute liver failure[2]
Summary
Introduction: Viral infection by hepatotropic viruses results in acute viral hepatitis, uncomplicated in most cases. It is complicated by development of liver failure and fulminant hepatitis, in which various metabolic complications can ensue, including acute pancreatitis. Development of acute pancreatitis (AP) in the setting of mere acute viral hepatitis (AVH) is very rare. LFT was consistent with acute viral hepatitis (Total Bilirubin = 10.5 mg/dL; ALT= 3660 IU/L; AST= 3280 IU/L; ALP= 838 IU/L) and INR
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