Herrera GM, Chávez-Tapia NC, Lizardi CJ

Language: Spanish
References: 8
Page: 101-104
PDF size: 52.96 Kb.

ABSTRACT

Acute pancreatitis is a rare complication in pregnancy; usually present in the third trimester of pregnancy, and 68% of cases are due to gallstones. Epigastric and periumbilical pain often radiates to the back is the major symptom of acute pancreatitis. Increased serum amylase and the urine amylase Cam/Ccr ratio, leukocytosis and hyperglycemia occurs frequently. A contrast-enhanced CT scan, in some case, provides valuable information on the severity and prognosis of acute pancreatitis. The differential diagnosis include: perforated viscus, acute cholecystitis, acute intestinal obstruction, renal colic, connective tissue disorders with vasculitis, pneumonia and ketoacidosis. The delivery of conceptus is not mandatory: it depends of fetal conditions and maternal complications associated with pancreatitis. Maternal and fetal mortality is over 37%. The decision of treatment depends of patient’s history, gestational age and the treatment response with expectant therapy.

REFERENCES

1. Malangoni MA. Gastrointestinal surgery and pregnancy. Gastroenterol Clin North Am 2003; 32(1): 181-200.

2. Ramin KD, Ramin SM, Richey SD. Acute pancreatitis in pregnancy. Am J Obstet Gynecol 1995; 173: 187-191.

3. Vázquez RJG. Pancreatitis aguda y embarazo. Rev Asoc Mex Med Crit y Ter Int 1997; 11(4): 117-120.

4. Scout LD. Gallstone disease and pancreatitis in pregnancy. Gastroenterol Clin North Am 1992; 21: 803- 815.

5. Asrat T, Rogers N. Acute pancreatitis caused by biliary Ascaris in pregnancy. J Perinatol 1995; 15: 330-332.

6. Scott LD. Gallstone disease and pancreatitis in pregnancy. Am J Gastroenterol 2003; 98(2):308-11.

7. Steinberg W, Tenner S. Acute pancreatitis. N Engl J Med 1994; 330: 1198-1208.

8. Scott LD. Gallstone disease and pancreatitis in pregnancy. Gastroenterol Clin North Am 1992; 21: 803-815.