DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20205276

Acute necrotizing pancreatitis in a pregnant female diagnosed after caesarian delivery: a case report

Foram P. Acharya, Aditya A. Mukim, Prashant V. Acharya

Abstract


Acute pancreatitis (AP) is a rare event in pregnancy, occurring in approximately 3 in 10,000 pregnancies. The spectrum of AP in pregnancy ranges from mild pancreatitis to serious pancreatitis associated with necrosis, abscesses, pseudocysts and multiple organ dysfunction syndromes. A 21 years old, primigravida presented to labour room at 33 weeks 2 days of gestation with complaint of abdominal pain. Per vulval finding showed pin-point vagina. (patient had history of transverse vaginal septum, and was operated for the same before conception). Patient was operated for caesarian delivery and Fenton’s repair done. Contrast-enhanced computed tomography showed signs of acute necrotizing pancreatitis with peripancreatic collection. AP in pregnancy remains a challenging clinical problem to manage. The general management of AP in pregnancy is supportive.


Keywords


Acute necrotizing pancreatitis, Pancreatitis in pregnancy, Fenton’s repair

Full Text:

PDF

References


Pitchumoni CP, Yegneswaran B. Acute pancreatitis in pregnancy. World J Gastroenterol. 2009;15(45):5641-6.

Ramin KD, Ramsey PS. Disease of the gallbladder and pancreas in pregnancy. Obstet Gynecol Clin North Am. 2001;28:571-80.

Wilkinson EJ. Acute pancreatitis in pregnancy: A review of 98 cases and a report of 8 new cases. Obstet Gynecol Surv. 1973;28:281-303.

Corlett RC, Jr, Mishell DR Jr. Pancreatitis in pregnancy. Am J Obstet Gynecol. 1972;113:281-90.

Montgomery WH, Miller FC. Pancreatitis and pregnancy. Obstet Gynecol. 1970;35:658-64.

Scott LD. Gallstone disease and pancreatitis in pregnancy. Gastroenterol Clin North Am. 1992;21:803-15.

Juneja SK, Gupta S, Virk SS, Tandon P, Bindal V. Acute pancreatitis in pregnancy: A treatment paradigm based on our hospital experience. Int J Appl Basic Med Res. 2013;3(2):122-5.

Doane SM, Yeo CJ. Psuedocysts and other complications of pancreatitis. Shackelford’s surgery of the alimentary tract. 8th edition. Elsevier. 2018;1107.

Bouwense SAW, Goosen HG. Acute pancreatitis. Shackelford’s surgery of the alimentary tract.8th edition. Elsevier. 2018;1079-80.