Document Type : Case report
Authors
1
Department of Obstetrics and Gynecology, Kashan University of Medical Sciences, Kashan, Iran
2
Department of Obstetrics and Gynecology, Tehran University of Medical Sciences, Tehran, Iran
10.22038/ijogi.2024.79343.6063
Abstract
Introduction: Acute pancreatitis is uncommon in pregnancy, but due to symptoms similar to other diseases during pregnancy, it may not be easily diagnosed. Delay in diagnosis is associated with serious maternal and fetal complications and even death.
Case presentation: A 37-year-old woman, 32weeks pregnant, complained of epigastric pain without nausea and vomiting, and normal blood pressure, with suspicion of preeclampsia with severe features, was sent from the second-level women's center to the third-level center (Shahid Beheshti hospital of Kashan). In both centers, creatinine, liver enzymes, hemoglobin and platelets were normal and only proteinuria was present. The pain worsened with eating, and with surgical consultation and serum amylase and lipase measurements, acute pancreatitis was diagnosed. With the management of a team including gastroenterologist, surgeon, gynecologist, nutritionist and infectious disease medical treatment was done and after eight days with the resolution of clinical symptoms and the normalization of tests and the continuation of oral medications, she was discharged. The estimated fetal weight and the amniotic fluid in ultrasound were normal. And fetal health being tests were performed daily.
Discussion: Although acute pancreatitis is not common in pregnancy, due to the similarity of symptoms with some more common complications of pregnancy, such as HELLP syndrome and preeclampsia, there is a possibility of delay in diagnosis. If not diagnosed and treated on time, it can be associated with severe morbidity and even maternal and fetal mortality.
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