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

ABSTRACT      

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

Brunei Int Med J. 2016; 12 (5): 176-180