Acute Pancreatitis in a Pregnant Women at 30 - 31 Weeks of Gestational Age with Complete Cure

Abstract

Introduction:Acute pancreatitis is an acute inflammatory disease of the pancreas characterized clinically by upper quadrant pain and elevated levels of enzymes in the blood. Although The pathogenesis of pancreatitis is not fully understood, gallstone and chronic alcohol abuse is considered for two-thirds or more cases in the united stated. Case Presentation: In this case report, the researchers present a 29-year-old pregnant female G3P2 with 31 w, 2 d of gestational age, who was referring to maternity ward with upper quadrant pain, nausea, and vomiting. Her ultrasound, examination, and blood analysis showed acute pancreatitis due to hyperlipidemia. The patient underwent six plasmapheresis and medical treatment and was discharged with complete cure at 34 weeks of gestational age. Conclusions: Accurate assessment of the incidence and mortality of acute pancreatitis is difficult as mild pancreatitis may be subclinical and deaths may occur before the diagnosis of sever and fulminant attacks. Mortality rate is three percent in patients with interstitial pancreatitis and 17% in patients with pancreatic necrosis.

Acute pancreatitis in pregnancy: a 10-year, multi-center, retrospective study in Beijing

“…In our study, 25% (8/32) of patients had an increase in serum amylase less than three times the normal value, and the increase in serum amylase was not related to the severity of APIP. Studies have shown that compared with serum amylase, serum lipase has a higher sensitivity and a larger diagnostic window [ 35 ]. In case of hyperlipidemic acute pancreatitis, lipase offers a better diagnostic accuracy (91.8%) than amylase (40.3%) [ 36 ].…”