Pediatr Infect Vaccine.  2023 Aug;30(2):104-110. 10.14776/piv.2023.30.e11.

A Case of Isolated Acute Pancreatitis Presenting With Epigastric Pain in an 8-Year-Old Child Infected With COVID-19

• Jin JO
• Jeong SR
• Kwak BO
• Hwang SM
• Cho KY

• KMID: 2549048
• DOI: http://doi.org/10.14776/piv.2023.30.e11

Abstract

Coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) mainly causes respiratory symptoms such as fever, cough, sputum, and rhinorrhea, as well as digestive symptoms such as diarrhea, vomiting, and abdominal pain in children. In this report, we describe a case of a child with a SARS-CoV-2 infection who presented with epigastric pain and was subsequently diagnosed with acute pancreatitis without any concomitant infections in other organs. The epigastric pain was relieved with goal-directed vigorous fluid therapy for acute pancreatitis for 24 hours, and the serological and radiological findings normalized after two months. Acute pancreatitis should be considered as a differential diagnosis when a child with a history of COVID-19 visits the hospital with epigastric pain.

Keyword

Pancreatitis; Child; SARS-CoV-2; COVID-19; Abdominal pain