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Preeclampsia as a cause of pancreatitis: a case report
Lucie Opatrny1, Nicole Michon, Evelyn Ray
1Center for Clinical Epidemiology and Community Medicine, Sir Mortimer B. Davis - Jewish General Hospital, Montréal QC.
Background:
Pancreatitis is an uncommon but well-described entity in pregnancy and labour, with most cases attributable to biliary disease. Preeclampsia is not an established cause of pancreatitis.
Case:
A 29-year-old woman with preeclampsia and adverse features at 33 weeks' gestation developed pancreatitis during her labour induction. Investigations ruled out known etiologies of pancreatitis. The woman was monitored clinically, biochemically, and radiologically, and underwent a Caesarean delivery of a healthy infant. Both the pancreatitis and preeclampsia resolved rapidly postpartum. Given her benign clinical picture, no specific therapeutic intervention was deemed necessary for the pancreatitis, and she was discharged 5 days postpartum.
Conclusion:
The clinical course and investigations of this woman suggest that preeclampsia should be considered as a cause of pancreatitis.
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Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
Chronic Pancreatitis I: Introduction
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Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
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