[Acute pancreatitis in pregnancy]

Ginecol Obstet Mex. 2016 Feb;84(2):79-83.
[Article in Spanish]

Abstract

Background: Acute pancreatitis is an inflammatory disease that affects the pancreatic tissue, which have been proposed numerous causes, with unpredictable results, it appears as a complication of rare occurrence, so the information on maternal and fetal complications is limited. Objective: Exposing obstetric and perinatal outcomes of patients diagnosed with pancreatitis complicating pregnancy.

Methodology: A retrospective, observational, transverse and descriptive study; data were obtained and analyzed by reviewing medical records of patients diagnosed with pancreatitis and pregnancy.

Results: A total of 9 cases were included, corresponding to an incidence of 39/100,000 live births in the time period analyzed. The median age was 22, the mean gestational age at diagnosis was 31 weeks. 4 patients had cesarean delivery and 2 patients natural delivery. 3 patients had Ranson 3, a 2 and other Ranson Ranson 1 the remaining 4 Ranson 0. All products had adequate evolution. A case of maternal death as a complication of the disease was presented, because of metabolic acidosis and ARDS.

Conclusion: Acute pancreatitis is an entity of variable incidence, which increases their appearance with advancing pregnancy, and can lead to serious complications for pregnant women. It is extremely important to pay attention to early symptoms of the disease, and achieve an accurate diagnosis and provide adequate multidisciplinary management for a better prognosis for maternal-fetal binomial.

Publication types

  • English Abstract

MeSH terms

  • Acute Disease
  • Adolescent
  • Adult
  • Cross-Sectional Studies
  • Delivery, Obstetric / methods
  • Female
  • Humans
  • Incidence
  • Pancreatitis / complications*
  • Pancreatitis / epidemiology
  • Pancreatitis / physiopathology
  • Pregnancy
  • Pregnancy Complications / epidemiology
  • Pregnancy Complications / physiopathology*
  • Pregnancy Outcome*
  • Retrospective Studies
  • Young Adult