COVID-19 presenting as Acute abdomen- a study of 3 cases

Authors

  • Shrebash Paul Senior Resident, Department of Internal Medicine, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
  • Md Khairul Islam Junior Consultant, Department of Medicine, Dhaka Medical College Hospital, Dhaka, Bangladesh
  • Forhad Uddin Hasan Chowdhury Registrar, Department of Medicine, Dhaka Medical College Hospital, Dhaka, Bangladesh
  • Fazle Rabbi Chowdhury Associate Professor, Department of Internal Medicine, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh

DOI:

https://doi.org/10.3329/jbcps.v41i4.68949

Keywords:

COVID-19, Hepato-biliary, Acute pancreatitis, Acalculous cholecystitis, ACE2 receptor

Abstract

COVID-19 is a multisystem disease and sometimes patient can present with life threatening extra-pulmonary manifestations. Amongst GI symptoms nausea, vomiting, abdominal pain and diarrhoea are common. Severe hepatobiliary manifestations like acute pancreatitis, acute hepatitis and cholecystitis are rare in SARS-CoV-2 infection. In this case series we described three cases presented with hepatobiliary manifestations. All of them had acute abdominal pain and finally proven to be the case of acute pancreatitis and acalculous cholecystitis in addition to classical COVID- 19 symptoms. Two of them had severe symptoms and required high volume of oxygen, while one case (acalculous cholecystitis) had mild symptom only. All of them recovered successfully. High degree of clinical suspicion is required while managing atypical presentation of COVID-19 cases. This is also vital to refer the cases to advance care hospitals in time to ensure multidisciplinary care.

J Bangladesh Coll Phys Surg 2023; 41(4): 320-324

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Published

2023-10-26

How to Cite

Paul, S. ., Islam, M. K., Hasan Chowdhury, F. U. ., & Chowdhury, F. R. . (2023). COVID-19 presenting as Acute abdomen- a study of 3 cases. Journal of Bangladesh College of Physicians and Surgeons, 41(4), 320–324. https://doi.org/10.3329/jbcps.v41i4.68949

Issue

Vol. 41 No. 4 (2023)

Section

Case Reports

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