Search Article Keyword:  

 

 

PubMed Submission Abstract PDF Feed Back  Click Count: 3398 DownLoad Count: 1263 

 

 

ISSN 1007-9327 CN 14-1219/R  World J Gastroenterol  2007 November 21;13(43): 5741-5744

Acute pancreatitis in acute viral hepatitis

Pankaj Jain, Sandeep Nijhawan, Ramesh Roop Rai, Subhash Nepalia, Amit Mathur

 

 


 


 

Pankaj Jain, Sandeep Nijhawan, Ramesh Roop Rai, Subhash Nepalia, Amit Mathur, Department of Gastroenterology, SMS Medical College, Jaipur, Rajasthan, India

Correspondence to: Sandeep Nijhawan, Professor, Department of Gastroenterology, SMS Medical College, Jaipur, Rajasthan, India. dr_nijhawan@yahoo.com

Telephone: +91-141-2722335  Fax: +91-141-2560994

Received: May 10, 2007          Revised: September 6, 2007

  

Abstract

AIM: To elucidate the frequency and characteristics of pancreatic involvement in the course of acute (nonfulminant) viral hepatitis.

 

METHODS: We prospectively assessed the pancreatic involvement in patients with acute viral hepatitis who presented with severe abdomimanl pain.

 

RESULTS: We studied 124 patients with acute viral hepatitis, of whom 24 presented with severe abdominal pain. Seven patients (5.65%) were diagnosed to have acute pancreatitis. All were young males. Five patients had pancreatitis in the first week and two in the fourth week after the onset of jaundice. The pancreatitis was mild and all had uneventful recovery from both pancreatitis and hepatitis on conservative treatment. The etiology of pancreatitis was hepatitis E virus in 4, hepatitis A virus in 2, and hepatitis B virus in 1 patient. One patient had biliary sludge along with HEV infection. The abdominal pain of remaining seventeen patients was attributed to stretching of Glissonís capsule.

 

CONCLUSION: Acute pancreatitis occurs in 5.65% of patients with acute viral hepatitis, it is mild and recovers with conservative management.