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Post-partum pancreatitis

P R Pai1, H K Shah, A B Samsi

  • 1Dept. of General Surgery, Seth GS Medical College, Bombay, Maharashtra.

Journal of Postgraduate Medicine
|April 1, 1993
PubMed
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Acute pancreatitis during pregnancy or postpartum is rare and dangerous. This case highlights a fatal outcome in a tertigravida due to severe pancreatitis, emphasizing the critical risks to both mother and fetus.

Area of Science:

  • Obstetrics and Gynecology
  • Gastroenterology
  • Surgical Pathology

Background:

  • Acute pancreatitis during pregnancy and the postpartum period is a rare but potentially lethal complication.
  • It poses significant risks to both maternal and fetal well-being, demanding prompt recognition and management.

Observation:

  • A 35-year-old tertigravida presented with high fever, abdominal pain, distension, tachycardia, and tachypnea.
  • Initial chest X-rays suggested pneumonia, while abdominal examination revealed a tense, tender abdomen with absent peristalsis.
  • Abdominal ultrasound showed free fluid, later identified as Gram-positive cocci with elevated amylase levels.

Findings:

  • Exploratory laparotomy revealed severe hemorrhagic and edematous pancreatitis.
  • Despite surgical intervention, the patient's condition rapidly deteriorated.

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Implications:

  • This case underscores the critical and often fatal nature of acute pancreatitis in pregnancy.
  • Early diagnosis and aggressive management strategies are crucial for improving maternal and fetal outcomes in such rare obstetric emergencies.