Severe acute pancreatitis and pregnancy

Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]
K W RobertsonC W Imrie

Abstract

For most patients with pregnancy-associated pancreatitis there is little maternal survival threat and only occasionally are there foetal deaths. We describe 4 young women with pregnancy-associated severe acute pancreatitis who each had gallstones. Their ages were 17, 18, 20 and 24 years. Each was a tertiary referral to our unit in Glasgow and each pursued a life-threatening course with hospital stays ranging from 37 to 90 days. One patient required pancreatic necrosectomy for infected necrosis, another had percutaneous management of a pancreatic abscess and 2 had cystogastrostomy as treatment for pancreatic pseudocyst. All underwent early endoscopic sphincterotomy and later cholecystectomy. It is important to be aware that pregnancy-associated acute pancreatitis may be severe, posing a survival threat even in the youngest patients. Gallstones, as we reported almost 20 years ago, are the most common aetiological factor in such patients.

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Citations

Aug 22, 2008·Archives of Gynecology and Obstetrics·Guillaume DucarmeDominique Luton
Mar 5, 2013·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Jianfeng YangXiao Zhang
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Sep 24, 2019·International Journal of Surgery·Ahmad Al Samaraee, Vish Bhattacharya

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