Pancreatic Pseudocysts in Pregnancy: A Case Report and Review of the Literature

Abstract

The natural history of pancreatic pseudocysts in pregnancy appears similar to that in nongravid patients. Hyperlipidemia is overrepresented as a cause of pancreatic pseudocysts in pregnancy, causing more cases than alcoholic and biliary pancreatitis combined. Seventy-five percent of cases of known parity was primaparous. While in some cases percutaneous or endoscopic drainage was performed antepartum, most patients were conservatively managed until delivery. Despite two cases of successful vaginal delivery, cesarian section may be preferable for large pseudocysts to avert rupture.

Pancreatitis in Pregnancy

“…Traumatic, hyperlipidemic and alcohol-induced pancreatitis had particularly poor outcomes. Pseudocysts were almost exclusively associated with non-gallstone pancreatitis, which has been reported elsewhere (32). …”

Successful Endoscopic Resolution of Pancreatic Pseudocyst in Pregnancy

“…In summary, we would like to supplement the conclusion of Eddy et al 1 In case of a large or growing pancreatic pseudocyst in pregnancy, the endoscopic cystenterostomy can also be an effective method. With endoscopic ultrasound guidance, it could even have less risk of radiation than the combined fluoroscopic-endoscopic method used by us.…”

“…We read the paper of Eddy et al 1 with great interest about pancreatic pseudocysts in pregnancy. They report on a patient who was managed conservatively and had a distal pancreatectomy 3 weeks after cesarean delivery.…”

Pancreatitis In Pregnancy: What has Remained The Same and What has Changed?

“…They are more likely to develop in nonbiliary pancreatitis (alcohol or hyperlipidemia induced) rather than biliary [7]. One should suspect this to have occurred in patients with persistent rise in amylase level [64]. Limited number of pseudocyst complications in PAP, makes drawing guidelines of their management difficult and the clinician hence has to use his judgment on case by case basis, in managing them [64].…”