Acute pancreatitis and pregnancy: case report and review of the literature

Authors

  • Mayara Kato Perez FCMS/PUC-SP
  • Ronaldo Antonio Borghesi FCMS/PUC-SP

Keywords:

abdominal pain, pancreatitis, pregnancy.

Abstract

ABSTRACT
Acute pancreatitis is an inflammation of pancreas that involves other organs around it or systems. In this report, a case of acute pancreatitis during pregnancy will be discussed and it deserves importance due to the low incidence and high morbidity and mortality. Its main etiologic factor is cholelithiasis, and pregnant women could develop acute pancreatitis associated with hyperlipidemia. So that, this case involves a first-time mother at second trimester of pregnancy that, with her clinical, laboratory and image evaluation, was diagnosed with acute pancreatitis with biliary etiology and, on this situation, pharmacological therapeutic was chosen, allied to general measures.

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Author Biographies

Mayara Kato Perez, FCMS/PUC-SP

Acadêmica do curso de Medicina FCMS/PUC-SP

Ronaldo Antonio Borghesi, FCMS/PUC-SP

Professor do Depto. de Cirurgia FCMS/PUC-SP

References

Sekimoto M, Takada T, Kawarada Y, Hirata K, Mayumi T, Yoshida M, et al. JPN Guidelines for the management of acute pancreatitis: epidemiology, etiology, natural history, and outcome predictors in acute pancreatitis. J Hepatobiliary Pancreat Surg. 2006;13(1):10-24.

Angelini D. Obstetric triage revisited: update on non-obstetric surgical conditions in pregnancy. J Midwifery Women's Health. 2003;48(2):111-8.

Ramin K, Ramin S, Richey S, Cunningham F. Acute pancreatitis in pregnancy. Am J Obstet Gynecol. 1995;173:187-91.

Parangi S, Levine D, Henry A, Isakovich N, Pories S. Surgical gastroin­testinal disorders during pregnancy. Am J Surg. 2007;193:223-32.

Kim EJ, Baik JC, Chung JY, Kwon YI, Moon JS, Park YS. A case of acute pancreatitis of the pregnancy. Korean J Obstet Gynecol. 2005;48(8):1967-70.

Tranpnell, J. E. & Ducan, E. H. L. Patterns of incidence in pancreatitis. Br Med J. 1975;2:179.

Creasy RK, Resnik R. Maternal-Fetal medicine. 4th ed. Philadelphia: Saunders; 1999.

Suga, S. & cols. Identification of homozygous lipoprotein lipase gene mutation in a woman with recurrent aggravation of hypertriglyceridaemia induced by pregnancy. J Intern Med. 1998;243(4):317-21.

Hieronimus S, Benlian P, Bayer P, Bongain A, Fredenrich A. Combination of apolipoprotein E2 and lipoprotein lipase heterozygosity causes severe hypertriglyceridemia during pregnancy. Diabetes Metab. 2005;31:295-7.

Moldenhauer JS, O'brien JM, Barton JR, Sibai B. Acute fatty liver of pregnancy associated with pancreatitis: a life-threatening complication. Am J Obstet Gynecol. 2004;190:502-5.

Parmar MS. Pancreatic necrosis associated with preeclampsia-eclampsia. JOP. 2004;5(2):101-4.

Henriques PRF, Abrantes WL, Souza RG, Lima AS, Capuruço CEP, Pitella JEH. Pancreatite necro-hemorrágica por ascaridíase intraparenquimatosa: relato de um caso tratado cirurgicamente. Rev Med Minas Gerais. 1992;2(3):175-8.

Madsen RB, Djurhuus H. Acute pancreatitis caused by Ascaris lubricoides. Ugeskr Laeger. 2000;162(26):3730-1.

Hallberg P, Hallberg E, Amini H. Acute pancreatitis following medical abortion: case report. BMC Womens Health. 2004;4(1):1.

Triviño T, Lopes Filho GJ, Torrez FRA. Pancreatite aguda: o que mudou? Gastrenterol Endosc Digest. 2002;21(2):69-76.

Ignjatovic S, Majkic-Singh N, Radenkovic D, Gvozdenovic M, Mitrovic M. Diagnosis, assessment of severity and management of acute pancreatitis. Jugoslav Med Biohem. 2004;23:229-33.

Chebli JMF, Ferrari Jr AP, Silva MRR, Borges DR, Atallah AN, Neves MM. Microcristais biliares na pancreatite aguda idiopática: indício para etiologia biliar oculta subjacente. Arq Gastroenterol. 2000;37(2):93-101.

Block S, Maier W, Bittner R, Büchler M, Malfertheiner T, Beger HG. Identification of pancreas necrosis in severe acute pancreatitis. Gut. 1986;27(9):1035-42.

Hernandez A, Banks P, Brooks D, Ashley S, Petrov M, Tavakkolizadeh A. Acute pancreatitis and pregnancy: a 10-year single center experience. J Gastrointest Surg. 2007; 11(12):1623-7.

Su CF, Ho SW, Tee YT. Acute necrotizing pancreatitis complicating uteroplacental apoplexy. Taiwan J Obstet Gynecol. 2007;46(1):64-7.

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Published

2013-06-28

How to Cite

1.
Perez MK, Borghesi RA. Acute pancreatitis and pregnancy: case report and review of the literature. Rev. Fac. Ciênc. Méd. Sorocaba [Internet]. 2013Jun.28 [cited 2024Dec.21];15(2):28-30. Available from: https://revistas.pucsp.br/index.php/RFCMS/article/view/8992

Issue

Vol. 15 No. 2 (2013)

Section

Case Report

License

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