Acutepancreatitisinpregnancy:acasereport
妊娠期病发急性胰腺炎一例
ABSTRACT
摘要
Acutepancreatitisisarareevent,canbeassociatedwithahighmaternalmortalityandfetallosswithanincidenceof3in10,pregnancies.A24yearsoldprimigravidawith28weeksofgestation,presentedwithpaininupperabdomensince4daysandnausea,vomitingandfeversinetwodays,abdomendistendedandtendernesspresentinepigastricregion.Serumamylaseandlipasewereraised.Sonographyabdomenshowedpancreasbulkywithperipancreaticfreefluidandinflammatorychangessuggestiveofpancreatitis.Patientwasmanagedcondervativelyandwasdischargedtohomeafter7days.Regularfollowupwasdonetill36weeksandemergencycesareandeliverywasdoneinviewofnon-reassuringfetalheartrateat36weeks3daysofgestation.Earlydiagnosisofacutepancreatitisinpregnancyandsupportivetreatmentwithmaternalandfetalmonitoringresultsingoodperinatalout鍎跨鐧界櫆椋庢棭鏈熻兘娌绘剤鍚?娌荤枟鐧界櫆椋庣殑鏈濂芥柟娉?