Acute pancreatitis with para-duodenal haematoma in patient with Dengue Fever
Asri CHE JUSOH, Yanzie ONG, Ahmad Faiz NAJMUDDIN GHAZI, Afiq Muiz RASIDI
Department of General Surgery, Kuala Krai Hospital, Kelantan, Malaysia
Dengue fever is a major public health problem in tropical and subtropical countries. Despite being endemic, atypical presentation mimicking acute abdomen is not uncommon and should be acknowledged. Furthermore, the latter typically associated with higher morbidity and mortality. We report the case of a 24-year-old man who presented with a week history of viral like fever and thrombocytopaenia, presenting with epigastric pain and melaena. Investigations confirmed Dengue Fever and endoscopy showed multiple duodenal ulcers. This was later complicated by pancreatitis and a para-duodenal haematoma which was successfully treated conservatively without any surgery.
Keywords: Dengue fever, acute pancreatitis, para-duodenal haematoma, bleeding ulcer
Correspondence author: Asri CHE JUSOH, Department of General Surgery, Kuala Krai Hospital, 18000 Kuala Krai, Kelantan. Malaysia. Tel: 609-9666333, E mail: firstname.lastname@example.org
Brunei Int Med J. 2016; 12 (5): 176-180