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Year 2020 / Volume 112 / Number 2

Research letter

A rare association: acute pancreatitis caused by the influenzavirus A with secondary appendicitis in a six-year-old girl

157

Antonio Jesús Láinez Ramos-Bossini, María del Carmen Pérez García, Mario Rivera Izquierdo,

Acute pancreatitis (AP) is the most frequent pancreatic disorder in children and abdominal ultrasound (AUS) is very helpful in the clinical management. Even though several agents have been implicated in the etiology of AP, influenza virus A (IVA) is exceptional. We report the case of a 6-year-old girl who presented with generalized abdominal pain and flu-like symptoms. Blood tests and AUS revealed typical findings of AP and a nasopharyngeal aspirate was positive for IVA. Twenty-four hours later, the patient developed signs of acute appendicitis, which was also confirmed by AUS. This case highlights the importance of AUS in the management of acute abdominal conditions in children, including reactive entities such as appendicitis, as well as the need to consider IVA as a potential causal agent of AP.

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Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
© 2020 The Spanish Journal of Gastroenterology