پانکراتیت حاد در بارداری: گزارش مورد

نوع مقاله: گزارش مورد

نویسندگان

1 استاد گروه زنان و مامایی، دانشکده پزشکی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

2 دانشیار گروه زنان و مامایی، دانشکده پزشکی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

3 استادیار گروه زنان و مامایی، دانشکده پزشکی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

4 رزیدنت گروه زنان و مامایی، دانشکده پزشکی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

5 پزشک عمومی، دانشکده پزشکی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

10.22038/ijogi.2020.16012

چکیده

مقدمه: پانکراتیت حاد در دوران بارداری، یک حادثه نادر است که فراوانی آن بین 1 در هزار تا 1 در 10 هزار تولد تخمین زده شده است. در این مطالعه یک مورد پانکراتیت حاد بارداری و عواقب مادری و نوزادی آن به‌دنبال درمان حمایتی گزارش می‌شود.
معرفی بیمار: بیمار خانم 25 ساله G2ab1 (حاملگی دوم و یک بار سقط) با حاملگی 30 هفته بود که از شب قبل از مراجعه دچار درد ناگهانی اپی‌گاستر شده بود که با تشدید درد و بروز تهوع و استفراغ، به بیمارستان قائم مشهد مراجعه کرد. گزارش MRI مبنی بر افزایش ضخامت کیسه صفرا و التهاب پانکراس و پلورال افیوژن سمت چپ بود و میزان آمیلاز و لیپاز 3 برابر نرمال بود. بیمار با تشخیص پانکراتیت، تحت درمان نگهدارنده قرار گرفت. در روز ششم بستری، بیمار دچار تب 38 درجه سانتی‌گراد و انقباضات رحمی شد و نوزاد پره‌ترم متولد شد. مادر و نوزاد با حال عمومی خوب از بیمارستان مرخص شدند.
نتیجه‌گیری: پانکراتیت حاد در دوران بارداری می‌تواند منجر به زایمان زودرس شود. تشخیص زودهنگام و درمان نگهدارنده می‌تواند با نتایج مطلوب مادری و نوزادی همراه باشد.

کلیدواژه‌ها


عنوان مقاله [English]

Acute pancreatitis during pregnancy: A case report

نویسندگان [English]

  • Sedigheh Ayati 1
  • Leila Pourali 2
  • Atiyeh Mohammadzadeh Vatanchi 3
  • Elaheh Saeedi 4
  • Elaheh Hasanzadeh 5
1 Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
2 Associate professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
3 Assistant professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
4 Resident, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
5 General Physician, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
چکیده [English]

Introduction: Acute pancreatitis during pregnancy is a rare event that its frequency has been estimated as ranging from of 1/1000 to 1/10000 births. The aim of this study was to report a case of acute pancreatitis during pregnancy and its maternal and neonatal outcomes following conservative management.
Case presentation: A 25 years old woman G2ab1(second pregnancy, one abortion) with gestational age of 30 weeks and sudden epigastria pain from the last night who had referred to the Ghaem hospital of Mashhad due to severe stomach pain along with nausea and vomiting.. MRI reported increase in gall bladder thickness and pancreatic inflammation and left plural effusion. In laboratory tests, amylase and lipase were three time higher than normal. With diagnosis of pancreatitis, the patient underwent conservative treatment. At 6th day of hospitalization, 38°C fever and uterine contractions were started. A preterm neonate was born. The mother and neonate discharged from the hospital with good conditions.
Conclusion: Acute pancreatitis during pregnancy can lead to preterm delivery. Early diagnosis and conservative treatment can be associated with desirable maternal and neonatal outcomes. 

کلیدواژه‌ها [English]

  • Acute pancreatitis
  • Complications
  • pregnancy
  • Preterm delivery
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