Acute pancreatitis and acalculous cholecystitis secondary to rotavirus gastroenteritis in a 2-year-old patient

Abstract

Acute gastroenteritis is associated with hyperamylasemia; however, increased serum lipase in correlation with a clinical picture of acute pancreatitis is extremely rare. And even fewer cases of acalculous cholecystitis have been associated with rotavirus gastroenteritis. Objective: To describe a case of acute pancreatitis and acalculous cholecystitis in a 2-year-old patient, previously healthy, after presenting with severe gastroenteritis due to rotavirus. Methods: Rotavirus infection was demonstrated with a stool antigen test for this virus. Pancreatitis was evidenced by an increase in serum lipase. Acalculous cholecystis was demonstrated on ultrasonography and tomographic sections. Results: The patient was admitted with gastroenteritis caused by rotavirus associated with pancreatitis and acalculous cholecystis. After resolution of the condition, no sequelae of either pathology were demonstrated. Conclusions: Further research is needed to understand the role of rotavirus as a cause of acute pancreatitis and acalculous cholecystitis in children.