The Iranian Journal of Obstetrics, Gynecology and Infertility

The Iranian Journal of Obstetrics, Gynecology and Infertility

Acute pancreatitis during pregnancy: A case report

Document Type : Case report

Authors
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.
10.22038/ijogi.2020.16012
Abstract
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. 
Keywords
Acute pancreatitis
Complications
Pregnancy
Preterm delivery
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The Iranian Journal of Obstetrics, Gynecology and Infertility
Volume 23, Issue 3
May 2020
Pages 99-104