2016, Number 02
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Ginecol Obstet Mex 2016; 84 (02)
Acute pancreatitis in pregnancy
Saldivar-Rodríguez D, Treviño-Montemayor OR, Guzmán-López A, Treviño- Martínez G, Flores-Acosta CC
Language: Spanish
References: 14
Page: 79-83
PDF size: 351.48 Kb.
ABSTRACT
Background: Acute pancreatitis is an inflammatory disease that
affects the pancreatic tissue, which have been proposed numerous
causes, with unpredictable results, it appears as a complication of
rare occurrence, so the information on maternal and fetal complications is limited. Objective: Exposing obstetric and perinatal outcomes
of patients diagnosed with pancreatitis complicating pregnancy.
Methodology: A retrospective, observational, transverse and
descriptive study; data were obtained and analyzed by reviewing medical
records of patients diagnosed with pancreatitis and pregnancy.
Results: A total of 9 cases were included, corresponding to an
incidence of 39/100,000 live births in the time period analyzed.
The median age was 22, the mean gestational age at diagnosis was
31 weeks. 4 patients had cesarean delivery and 2 patients natural
delivery. 3 patients had Ranson 3, a 2 and other Ranson Ranson 1 the
remaining 4 Ranson 0. All products had adequate evolution. A case of
maternal death as a complication of the disease was presented, because
of metabolic acidosis and ARDS.
Conclusions: Acute pancreatitis is an entity of variable incidence,
which increases their appearance with advancing pregnancy, and can
lead to serious complications for pregnant women. It is extremely important
to pay attention to early symptoms of the disease, and achieve
an accurate diagnosis and provide adequate multidisciplinary management
for a better prognosis for maternal-fetal binomial.
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