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2025, Number 3

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Rev Med UAS 2025; 15 (3)

Severe idiopathic acute pancreatitis in pregnancy; multidisciplinary management in obstetric intensive care: A case report

Reyes-Reyes CU, Moreno-González A, Quintero-Beltran KJ, Mora-Palazuelos CE, Gutiérrez-Arzapalo PY, González-Quintero P, Espero-Cárdenas MA

Language: Spanish
References: 25
Page: 154-163
PDF size: 177.78 Kb.


ABSTRACT

A clinical case of severe idiopathic acute pancreatitis in a pregnant woman without risk factors is presented, requiring multidisciplinary management in the intensive care unit. She is a primigravida who was admitted at 33 weeks of gestation with intense abdominal pain. A diagnostic protocol was carried out, revealing acute pancreatitis with multiorgan failure (respiratory, renal, and hepatic failure). Through cesarean section, a stillborn fetus was found, and a subtotal obstetric hysterectomy was performed. Hemodynamic and ventilatory support, along with crystalloid fluid resuscitation and blood transfusions, were required. The diagnosis of acute pancreatitis poses a challenge for the obstetrician in ruling out the most common causes, using diagnostic tests such as serology and imaging. Although there is no international consensus, management during pregnancy should be conducted by a multidisciplinary team and use prognostic scales for the general population, including pharmacological, endoscopic, and surgical interventions.


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