Case Report
Copyright ©The Author(s) 2005. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Jul 28, 2005; 11(28): 4447-4449
Published online Jul 28, 2005. doi: 10.3748/wjg.v11.i28.4447
Acute pancreatitis caused by leptospirosis: Report of two cases
Ekrem Kaya, Adem Dervisoglu, Cafer Eroglu, Cafer Polat, Mustafa Sunbul, Kayhan Ozkan
Ekrem Kaya, Department of Surgery, Uludag University, Bursa, Turkey
Adem Dervisoglu, Cafer Eroglu, Department of Surgery, Ondokuz Mayis University, Samsun, Turkey
Cafer Polat, Mustafa Sunbul, Department of Infectious Disease, Ondokuz Mayis University, Samsun, Turkey
Kayhan Ozkan, Department of Surgery, Ondokuz Mayis University, Samsun, Turkey
Author contributions: All authors contributed equally to the work.
Correspondence to: Ekrem Kaya, MD, Department of Surgery, HPB Unit, Uludag University School of Medicine, Gorukle-Bursa 16059, Turkey. ekremkaya@uludag.edu.tr
Telephone: +90-224-4428598 Fax: +90-224-4428398
Received: July 31, 2004
Revised: November 1, 2004
Accepted: November 4, 2004
Published online: July 28, 2005
Abstract

Two cases of acute pancreatitis with leptospirosis are reported in this article. Case 1: A 68-year-old woman, presented initially with abdominal pain, nausea, vomiting, and jaundice. She was in poor general condition, and had acute abdominal signs and symptoms on physical examination. Emergency laparotomy was performed, acute pancreatitis and leptospirosis were diagnosed on the basis of surgical findings and serological tests. The patient died on postoperative d 6. Case 2: A 62-year-old man, presented with fever, jaundice, nausea, vomiting, and malaise. Acute pancreatitis associated with leptospirosis was diagnosed, according to abdominal CT scanning and serological tests. The patient recovered fully with antibiotic treatment and nutritional support within 19 d.

Keywords: Acute pancreatitis, Leptospirosis, Infection