Acute pancreatitis during pregnancy

Štimac, Davor; Štimac, Tea

doi:10.1097/meg.0b013e328349b199

Cited by 34 publications

(30 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Abdominal ultrasound is an ideal imaging technique for diagnosing acute pancreatitis in pregnancy because it has no associated radiation risk and is useful for detecting dilated pancreatic ducts and pseudocysts [13] . However, it is difficult to diagnose acute pancreatitis in pregnancy by ultrasound because an enlarged uterus and combined ileus make a pancreas shadow invisible.…”

Section: Discussionmentioning

confidence: 99%

Acute idiopathic pancreatitis in pregnancy: A case study

Kim¹,

Jung²,

Choi³

et al. 2014

WJG

View full text Add to dashboard Cite

Acute pancreatitis during pregnancy is a rare event, and can be associated with high maternal mortality and fetal loss. Gallstone disease is thought to be the most common causative factor of acute pancreatitis, but, in many cases, the cause remains unclear. We report a case of a 36-year-old woman at 35 wk of gestation, who presented with severe pain confined to the upper abdomen and radiating to the back. The patient was diagnosed with acute idiopathic pancreatitis, which was managed conservatively; she recovered within several days and then delivered a healthy baby. Therefore it is important to consider acute pancreatitis when a pregnant woman presents with upper abdominal pain, nausea and vomiting in order to improve fetal and maternal outcomes for patients with acute pancreatitis.

show abstract

Section: Discussionmentioning

confidence: 99%

Acute idiopathic pancreatitis in pregnancy: A case study

Kim¹,

Jung²,

Choi³

et al. 2014

WJG

View full text Add to dashboard Cite

show abstract

“…Moreover, the high plasma triglycerides level may alter the amylase's count. A better marker is the level of plasma lipase [27]. Imaging is often necessary and should be used wisely.…”

Section: Small Warningsmentioning

confidence: 99%

“…The clinical symptoms are also similar to those of non-pregnant patients and include abdominal pain, nausea, and vomiting. A severe clinical picture is also characterized by fever, gastrointestinal bleeding, circulatory and respiratory alterations, and shock [27]. The initial diagnosis is usually based on both the clinical examination and the biochemical analysis.…”

Section: Acute Pancreatitismentioning

confidence: 99%

“…The initial imaging technique of choice is US, able to identify the presence of gallstones and of some complications such as peripancreatic fluid and pseudocysts [9]. If US is non-diagnostic, especially in cases of bile duct stones and morphological pancreatic alterations, MRI should be the method of choice for both its high accuracy in the evaluation of the biliopancreatic duct systems and its excellent soft-tissue contrast [27]. Common findings are an enlarged pancreas with a high signal intensity surrounding on T2W images due to edema and peripancreatic fluid.…”

Section: Acute Pancreatitismentioning

confidence: 99%

See 1 more Smart Citation

Errors in imaging the pregnant patient with acute abdomen

et al. 2015

View full text Add to dashboard Cite

Pregnant women with an acute abdomen present a critical issue due to the necessity for an immediate diagnosis and treatment; in fact, a diagnostic delay could worsen the outcome for both the mother and the fetus. There is evidence that emergencies during pregnancy are subject to mismanagement; however, the percentage of errors in the diagnosis of emergencies in pregnancy has not been studied in depth. The purpose of this article is to review the most common imaging error emergencies. The topics covered are divided into gynecological and non-gynecological entities and, for each pathology, possible errors have been dealt with in the diagnostic pathway, the possible technical errors in the exam execution, and finally the possible errors in the interpretation of the images. These last two entities are often connected owing to a substandard examination, which can cause errors in the interpretation. Consequently, the systemization of errors reduces the possibility of reoccurrences in the future by providing a valid approach in helping to learn from these errors.

show abstract

“…The usual symptoms are abdominal pain, anorexia, nausea, vomiting, dyspepsia, low-grade fever, tachycardia, fatty food intolerance. 13 All our patients had epigastric pain radiating to back (100%), nausea/vomiting in 5 (55.6%), fever in 3 (33.3%) etc.…”

mentioning

confidence: 99%

Acute pancreatitis in pregnancy: 5-year experience from a multidisciplinary centre

Srikumar

Nair

Reghunath

et al. 2018

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

Background: Acute pancreatitis is rare in pregnancy, but it is associated with increased incidence of maternal and fetal mortality. It should be one of the differential diagnosis of upper abdominal pain with or without nausea or vomiting. S. amylase, lipase and ultrasound abdomen were the diagnostic methods. Conservative management is the main stay in mild cases. Severe cases have multiorgan involvement and needs multidisciplinary approach. The objectives of this study were to study the maternal and fetal outcome in pregnant women diagnosed with acute pancreatitis and to identify the risk factors for acute pancreatitis in pregnancy.Methods: Retrospective descriptive study of pregnant women diagnosed with acute pancreatitis in Amrita Institute of Medical Sciences, Kochi during the period of 5 years from January 2011 to December 2016. A proforma having patients age, parity index, gestational age, symptoms with duration, blood investigations, ultrasonography, interventions done, mode of delivery, supportive treatment, complications were developed. Fetal weight, Apgar score, fetal complications were also noted.Results: The mean gestational age of presentation was 30 weeks of pregnancy. Upper abdominal pain radiating to back, vomiting, fever was the commonest clinical presentation in majority of cases. The diagnostic methods were S.Amylase ,Lipase and Ultrasound abdomen. The mean age of the patients were 26 years and 66.7% were primigravidas in the present study. There were 4 patients in SAP and 5 in MAP groups. Complications in SAP group were ARF, ARDS, DIC, MODS, metabolic acidosis etc. SAP group had 3 maternal and 3 fetal loss.Conclusions: Severe acute pancreatitis has adverse maternal and fetal outcome due to multi organ failure and sepsis.

show abstract

Acute pancreatitis during pregnancy

Cited by 34 publications

References 36 publications

Acute idiopathic pancreatitis in pregnancy: A case study

Acute idiopathic pancreatitis in pregnancy: A case study

Errors in imaging the pregnant patient with acute abdomen

Acute pancreatitis in pregnancy: 5-year experience from a multidisciplinary centre

Contact Info

Product

Resources

About