Acute pancreatitis temporally associated with COVID-19 pneumonia in a patient with post-tuberculosis chronic pulmonary aspergillosis: a case report

To report a case of acute pancreatitis that developed during COVID-19 pneumonia in a patient with a complex medical history.

The patient had elevated serum amylase and lipase levels, and CT confirmed peripancreatic inflammation.
Acute pancreatitis was diagnosed as mild interstitial edematous pancreatitis without organ failure or complications.
Sputum metagenomic sequencing detected SARS-CoV-2 and bacterial pathogens.

The case illustrates the diagnostic complexity of acute pancreatitis in the context of COVID-19 pneumonia and multiple underlying health issues.

The causal relationship between SARS-CoV-2 infection and acute pancreatitis remains controversial.
Further advanced biliary imaging was not feasible due to the patient's condition.

This case highlights the need for long-term surveillance in patients with complex medical histories and overlapping infections.