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Revista Médica Sinergia

2019, Number 11

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Revista Médica Sinergia 2019; 4 (11)

Acute pancreatitis in pregnancy

Coto CC, Gómez HC, Riggioni BV

Language: Spanish
References: 16
Page: 288
PDF size: 154.50 Kb.


ABSTRACT

Acute pancreatitis in pregnancy has different etiopathogenesis, however its main cause is biliary origin, usually follow by alcoholic and hyperlipidic causes. Risk factors associated are related to its etiology, though multiparity and advanced maternal age are related. All patients present acute persistent pain in superior abdomen. It can radiate to the back, relieves with flexion of the torso and it can be accompanied by fever and vomits. Diagnosis is based on Atlanta's criteria, and it requires two positive criteria to confirm pancreatitis. Among the radiologic studies, the Ultrasound is used mainly for lithiasis, other studies are the Axial computerized tomography and the Magnetic resonance. These, besides being diagnostic, also use the Ranson, Apache and Balthazar’s criteria for severity matters. Treatment is based in fluids, proper nutrition and analgesia, some case require antibiotic therapy or even surgery to solve. If it’s not being correctly treated, it could generate maternal and fetal deaths.


REFERENCES

  1. Brooks D, Gallstones in pregnancy. [Internet]. Waltham (MA): UpToDate Inc; 2019. [cited 2019 September 11]. Available from: https://www.uptodate.com/contents/gallstones-in-pregnancy? search=pregnancy% 20pancreatitis& source=search_result&selectedTitle =1~150&usage_type=default&display_ rank= 1#H4 20892657

  2. Lee R, Intercurrent hepatobiliary disease during pregnancy. [Internet]. Waltham (MA): UpToDate Inc; 2019. [cited 2019 September 11]. Available from: https://www.uptodate.com/contents/intercurrenthepatobiliary- disease-during-pregnancy? search=pregnancy%20pancreatitis&source=search_ result&selectedTitle=2~150&usage_type=default&display_rank=2#H9

  3. Méndez-Sánchez N. Pancreatitis aguda- Gastroenterología [Internet] Ciudad de México (CDMX): McGraw-Hill Interamericana; 2018. [Recuperado el 18 de septiembre de 2019. Disponible en: https://accessmedicina.mhmedical.com/content.aspx?bookid=2369§ionid=184731530

  4. Abdullah B, Kathiresan Pillai T, Cheen LH, Ryan RJ. Severe Acute Pancreatitis in Pregnancy. Case Reports in Obstetrics and Gynecology. 2015;2015:1-4. https://doi.org/10.1155/2015/239068

  5. Hara T, Kanasaki H, Oride A, Ishihara T, Kyo S. A Case of Idiopathic Acute Pancreatitis in the First Trimester of Pregnancy. Case Reports in Obstetrics and Gynecology. 2015;2015:1- 4. https://doi.org/10.1155/2015/469527

  6. Tang M, Xu J, Song S, Mei Q, Zhang L. What may cause fetus loss from acute pancreatitis in pregnancy. Medicine. 2018 02;97(7):e9755. https://doi.org/10.1097/md.0000000000009755

  7. Gómez L., Quartara F., Rey G., Sarubbo B.Pancreatitis aguda y embarazo: reporte de casos clínicos. Archivos de Ginecología y Obstetricia. 2017; Volumen 55, número 3: 135-141.

  8. Fernandez CA, Carvajal J, Crovari E F, Vera C, Poblete L J. Manejo de la pancreatitis aguda litiásica en la embarazada. ARS MEDICA Revista de Ciencias Médicas. 2017 09 08;42(2). https://doi.org/10.11565/arsmed.v42i2.658

  9. Vege SS. Etiology of acute pancreatitis. [Internet]. Waltham (MA): UpToDate Inc; 2019. [cited 2019 September 16]. Available from: https://www.uptodate.com/contents/etiology-of-acutepancreatitis? search=pancreatitis%20en%20embarazo&source=search_result&selectedTitle=3~150&usag e_type=default&display_rank=3#H8

  10. Vege SS. Pathogenesis of acute pancreatitis. [Internet]. Waltham (MA): UpToDate Inc; 2019. [cited 2019 September 16]. Available from: https://www.uptodate.com/contents/pathogenesis-of-acutepancreatitis? search=pancreatitis%20alcohol§ionRank=1&usage_type=default&anchor=H242656712& source=machineLearning&selectedTitle=3~150&display_rank=3#H242656712

  11. Mañas García MD, Marchán Carranza E, Galiana Gómez del Pulgar J, Fernández de Bobadilla Pascual B. Pancreatitis aguda por hipertrigliceridemia durante la gestación. Clínica e Investigación en Arteriosclerosis. 2017 Nov;29(6):275-277. https://doi.org/10.1016/j.arteri.2017.06.004

  12. Andres Gelrud A., Whitcomb D. Hypertriglyceridemia-induced acute pancreatitis. [Internet]. Waltham (MA): UpToDate Inc; 2019. [cited 2019 September 18]. Available from: https://www.uptodate.com/contents/hypertriglyceridemia-induced-acutepancreatitis? search=pancreatitis%20in%20pregnancy&source=search_result&selectedTitle=4~150&usag e_type=default&display_rank=4

  13. Hot S. Acute biliary pancreatitis during pregnancy and post delivery period. Turkish Journal of Trauma and Emergency Surgery. 2019;. https://doi.org/10.14744/tjtes.2019.03846

  14. Luo L, Zen H, Xu H, Zhu Y, Liu P, Xia L, He W, Lv N. Clinical characteristics of acute pancreatitis in pregnancy: experience based on 121 cases. Archives of Gynecology and Obstetrics. 2017 Nov 21;297(2):333-339. https://doi.org/10.1007/s00404-017-4558-7

  15. Kilpatrick C. Approach to acute abdominal pain in pregnant and postpartum women. [Internet]. Waltham (MA): UpToDate Inc; 2019. [cited 2019 September 18]. Available from: https://www.uptodate.com/contents/approach-to-acute-abdominal-pain-in-pregnant-and-postpartumwomen? search=pregnancy%20pancreatitis&source=search_result&selectedTitle=5~150&usage_type=def ault&display_rank=5#H15371889

  16. Contreras V., González I., Olveira G., Valdivieso P. Nutrición parenteral total en una paciente gestante con pancreatitis aguda e hipertrigliceridemia por déficit de lipoproteín lipasa. Nutrición Hospitalaria 2015 Agust 7:32(4): 1837-1840. https://doi.org/10.3305/nh.2015.32.4.9608




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