[Clinical analysis of acute hyperlipidemic pancreatitis during pregnancy and postpartum period]
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Updated: May 3, 2026

The Use of Gas Chromatography to Analyze Compositional Changes of Fatty Acids in Rat Liver Tissue during Pregnancy
Published on: March 13, 2014
Hong-liang Li1, Yuan-hui Jiang2, Yuan Wei2
1Department of Critical Care Medicine, Peking University Third Hospital, Beijing 100191, China.
Insights
Acute pancreatitis in pregnant and postpartum women is often caused by hyperlipidemia or gallstones. Aggressive treatment can improve outcomes for mothers and infants, even in severe cases.
Area of Science:
- Obstetrics and Gynecology
- Gastroenterology
- Critical Care Medicine
Background:
- Acute pancreatitis during pregnancy and postpartum presents unique challenges for maternal and fetal health.
- Understanding the specific characteristics and risk factors is crucial for timely diagnosis and management.
Purpose of the Study:
- To characterize acute pancreatitis in pregnant and postpartum women.
- To identify common causes, severity, and outcomes.
Main Methods:
- Retrospective analysis of 18 cases of acute pancreatitis in gravida and postpartum women treated between 1994 and 2012.
- Data collected included patient demographics, gestational age at onset, pancreatitis type, etiology, severity, and treatment outcomes.
Main Results:
- The incidence rate was 41.24 per 100,000 admissions.
- Hyperlipidemia (50%) and gallstones (38.9%) were the primary causes.
- Hyperlipidemic pancreatitis cases were more severe, but maternal and infant prognoses were generally good with appropriate care.
Conclusions:
- Acute pancreatitis in pregnancy and postpartum shares etiological similarities with the general population, primarily gallstones and hyperlipidemia.
- Despite increased severity in hyperlipidemic cases, aggressive therapeutic strategies can reduce maternal and perinatal morbidity and mortality.
Objective:
To describe the characteristics of acute pancreatitis during pregnancy and postpartum.
Methods:
From 1994 to 2012, 18 cases of gravida and postpartum women complicated with acute pancreatitis were treated at Peking University Third Hospital and retrospective analysis was performed.
Results:
The admission rate due to acute pancreatitis was 41.24 per 100 000 admission. The median age was 32.0 (28.0, 34.7) years, with the onset of acute pancreatitis on 35.0 (23.5, 37.0) weeks'gestation. Of all the cases, 13 (72.2%) were interstitial edematous acute pancreatitis, and 5 (27.8%) were necrotizing. Nine (50.0%) were caused by hyperlipidemia, of which 7 (38.9%) were caused by gallstones, and 2 (1.1%) were idiopathic. Stratified by severity, 6 (33.3%) were mild, 7 (38.9%) were moderately severe and 5 (27.8%) were severe, of which 8 were transferred to Intensive Care Unit. Compared with non-hyperlipidemic acute pancreatitis, cases caused by hyperlipidemia were more severe, however, the prognoses of mothers and infants were good.
Conclusion:
The incidence of acute pancreatitis during pregnancy and postpartum was similar to that of the regular population, and mostly caused by gallstones and hyperlipidemia. Although acute hyperlipidemic pancreatitis is more severe, the morbidity and mortality of maternal and perinatal could be decreased by aggressive therapy.
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