SARS-CoV-2 and the pancreas: What do we know about acute pancreatitis in COVID-19 positive patients?

Figure 1 Abdominal computed tomography 10 d after the onset of acute pancreatitis. A: Necrotic collection, with a noticeable wall, dislocating stomach; B: Necrotic collection occupying the majority of pancreatic head and compressing the duodenum; C: Multiple collections of fluid and necrosis involving the cephalad portion of the pancreas, multiple peripancreatic collections around the spleen and the left paracolic gutter.

Figure 2 Abdominal computed tomography 6 mo after the onset of acute pancreatitis. A and B: The double pigtail stents positioned during the endoscopic necrosectomy through the stomach is highlighted. Endoscopic necrosectomy through the stomach was performed 4 mo prior; C: A necrotic collection is evident in the lower right quadrant of the abdomen.

Figure 3 Abdominal computed tomography scan documenting correct placement of lumen-apposing metal stents for the treatment of walled-off necrosis in coronavirus disease 2019 positive patient. A: Sagittal scan; B: Front scan.

Figure 4 Intraoperative photos. A: Surgery was performed for severe abdominal hypertension due to acute pancreatitis with necrotic collections in the retroduodenal region; B: Surgery was performed for severe abdominal hypertension due to acute pancreatitis with necrotic collections along the paracolic gutter.