Presentation
Epigastric pain and vomiting. Preceding history of fever 10 days ago.
Patient Data
The pancreas appears mildly bulky and edematous with peripancreatic inflammatory changes and fluid collection. No evidence of pancreatic/peripancreatic necrosis was seen. Mild ascites. Mild gall bladder wall edema and periportal edema, likely reactive.
Suggestive of acute interstitial edematous pancreatitis (modified CT severity index 6/10).
Anti-hepatitis A (HAV) IgM was positive at 2.05.
Case Discussion
The serum amylase and lipase of this patient were very high and the anti-HAV IgM antibody was positive.
Viral infection is one of the most common causes of pancreatitis in the pediatric age group.
Co-author: Dr. Vivek Ranjan (Consultant pediatrician).