孕期急性胆结石胰腺炎:一种多学科的方法
Mark Ayoub1,2, Muhammed Ceesay2, Carol Faris3
1Internal Medicine, West Virginia University School of Medicine, Charleston, USA.
Cureus
|January 22, 2024
概括
本案例研究强调了在怀孕晚期治疗急性胰腺炎的方法. 医生成功地保守地治疗了胆结石胰腺炎,将手术推迟到分娩后,以确保母亲和婴儿的安全.
科学领域:
- 胃肠病学 胃肠病学
- 产科 产科 产科 产科 产科
- 手术管理的手术管理.
背景情况:
- 急性胰腺炎 (AP) 是美国胃肠道住院的重要原因,在怀孕期间的发病率有所不同.
- 胆结石胰腺炎是妊娠中AP的常见原因,其复发率很高,使管理决策复杂化.
- 怀孕期间急性胆道胰腺炎手术的最佳时间缺乏共识,这给临床挑战带来了挑战.
研究的目的:
- 在怀孕34周的孕妇中呈现急性胆结石胰腺炎病例.
- 讨论管理策略,包括保守的治疗和延迟的外科干预.
- 为了突出推迟胆囊切除术到分娩后的成功结果.
主要方法:
- 一名30岁的孕妇患者出现了暗示胆结石胰腺炎的症状.
- 最初的治疗包括用静脉输液和疼痛管理提供支持性护理.
- 磁共振胆血管细胞造影 (MRCP) 用于诊断;胆囊切除术被推迟到分娩后.
主要成果:
- 患者在怀孕期间接受了怀疑胆结石胰腺炎的保守治疗.
- 她在怀孕36周时经历了诱导分娩,导致无事件的分娩.
- 产后两周,成功进行了可选性腹腔镜胆囊切除术,没有并发症.
结论:
- 在怀孕晚期治疗急性胆结石胰腺炎是一种可行的选择.
- 将胆囊切除术推迟到分娩后可以导致有利的孕产妇和胎儿结果.
- 这种方法可以避免在晚期妊娠期间与手术相关的潜在风险.
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