PMC9355785_01
Lung CT scan of the patient at previous admission shows moderate involvement of the patient's lungs.
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The patient was admitted to the hospital one week ago due to COVID-19 pneumonia with significant lung involvement (85 O2 saturation (Sat)) (Figure 1), so medical therapy with remdesivir (200 mg stat dose and then 100 mg Q12 hr) and dexamethasone (8 mg Q12 hr) was received just in hospital admission.
Ecchymosis in the left flank consistent with Grey Turner's sign.
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In the abdominal examination, generalized tenderness and distention and one area of ecchymosis in the left flank were seen (Figure 2).
Computed tomography scan of the abdomen showing necrotic areas (hypoenhancing, nonenhancing) in the body of the pancreas.
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Sonography showed severe interstitial pancreatitis with suspicion of necrotizing pancreatitis, so a spiral abdominal CT scan with the pancreatic protocol was performed favoring severe necrotizing pancreatitis (>30%) peripancreatic fluid accumulation (Figure 3).