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[Acute pancreatitis in pregnancy]
A Artuso1, B Rocchi, C Crescini
1Divisione di Ginecologia e Ostetricia, Ospedale di Treviglio, Bergamo.
Minerva Ginecologica
|May 1, 1993
Summary
A rare case of acute pancreatitis occurred in a primigravida patient post-delivery, complicated by preeclampsia and dyslipidemia. Prompt diagnosis and intensive care led to recovery, highlighting pancreatitis as a cause of acute abdomen in pregnancy.
Area of Science:
- Obstetrics and Gynecology
- Gastroenterology
- Critical Care Medicine
Background:
- Postpartum acute pancreatitis is a rare but serious complication.
- Preeclampsia and familial dyslipidemia (Type IV) were noted comorbidities.
- Pregnancy was managed with nifedipine for hypertension, with persistent hyperlipidemia.
Observation:
- Patient presented with epigastric pain, vomiting, and signs of acute abdomen post-delivery.
- Clinical presentation included sweating, tachycardia, hypotension, and abdominal tenderness.
- Laboratory findings revealed elevated amylase, hyperglycemia, increased XDP, and leukocytosis.
Findings:
- Pancreatic echography showed enlarged pancreas, parenchymal changes, and peritoneal fluid.
- Computed tomography revealed pancreatic pseudocysts and ascites.
- Treatment involved intensive care, supportive measures, and antibiotics, leading to parameter normalization.
Implications:
- Acute pancreatitis should be considered in the differential diagnosis of acute abdomen during the postpartum period.
- Early recognition and management are crucial for favorable outcomes.
- This case underscores the importance of monitoring lipid profiles in high-risk pregnancies.