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Volume 77 - 2014 - Fasc.3 - Case reports

Crohn's disease presenting with acute pancreatitis

Crohn's disease is often accompanied by extraintestinal inflam- mation. Acute pancreatitis can be a rare manifestation of Crohn's disease. The present report describes a patient who developed two episodes of pancreatitis before the diagnosis of Crohn's disease. Clinical and laboratory evaluation excluded other causes of pancreatitis, confirming a direct association of the pancreatitis with Crohn's disease. This case report supports the hypothesis that acute pancreatitis may precede the clinical manifestations and diagnosis of the underlying inflammatory bowel disease. (Acta gastroenterol. belg., 2014, 77, 357-358).


Let's not forget herpes simplex virus in case of fulminant hepatic failure

Fulminant herpes simplex virus (HSV) hepatitis is a rare condi- tion, which is usually identified only after orthotopic liver trans- plantation (OLT) or at autopsy. The most commonly affected indi- viduals are immunosuppressed patients, although HSV hepatitis can occur in immunocompetent patients as well. A high degree of suspicion combined with early diagnostic modalities may improve survival. We present a case report of fulminant herpetic hepatitis, requiring OLT. In addition, a review of the literature was per- formed. (Acta gastroenterol. belg., 2014, 77, 359-361).