Acute recurrent pancreatitis during 3rd trimester of pregnancy

Czech version

Authors: J. Tobola; Martin Němec; P. Bieliková
Authors‘ workplace: Gynekologicko-porodnické oddělení, Nemocnice ve Frýdku-Místku p. o.
Published in: Ceska Gynekol 2023; 88(1): 17-19
Category: Case Report
doi: https://doi.org/10.48095/cccg202317

Overview

Objective: We present an unusual case report of a pregnant patient with recurrent attacks of acute pancreatitis due to cholecystolithiasis. Conclusion: Acute pancreatitis in pregnancy is a rare disease. Unlike the non-pregnant population, it is characterized by a high recurrence rate. Acute pancreatitis during pregnancy has a negative effect on both the mother and the fetus. The treatment is modified depending on the trimester of pregnancy.

Keywords:

acute pancreatitis – 3rd trimester of pregnancy – pancreatic enzymes – cholecystolithiasis

Sources

1. Ducarme G, Maire F, Chatel P et al. Acute pancreatitis during pregnancy: a review. J Perinatol 2014; 34 (2): 87–94. doi: 10.1038/jp.2013. 161.

2. Tang SJ, Rodriguez-Frias E, Singh S et al. Acute pancreatitis during pregnancy. Clin Gastroenterol Hepatol 2010; 8 (1): 85–90. doi: 10.1016/j.cgh.2009.08.035.

3. Jain P. Acute pancreatitis in pregnancy: an unresolved issue. World J Gastroenterol 2010; 16 (16): 2065–2066. doi: 10.3748/wjg.v16.i16. 2065.

4. Igbinosa O, Poddar S, Pitchumoni C. Pregnancy associated pancreatitis revisited. Clin Res Hepatol Gastroenterol 2013; 37 (2): 177–181. doi: 10.1016/j.clinre.2012.07.011.

5. Procházka M, Havlík R, Lubušký M. Onemocnění žlučníku, žlučových cest a slinivky břišní v těhotenství. Gynekol Prax 2012; 10 (2): 65–68.

6. Sheng C, Wang Y, Xu Z et al. The effect of admission serum triglyceride level on the prediction of severity of acute pancreatitis in pregnancy. Risk Manag Healthc Policy 2021; 14: 3209–3222. doi: 10.2147/RMHP.S318 879.

7. Luo L, Zen H, Xu H et al. Clinical characteristics of acute pancreatitis in pregnancy: experience based on 121 cases. Arch Gynecol Obstet 2018; 297 (2): 333–339. doi: 10.1007/s00404-017-45 58-7.

8. Eddy JJ, Gideonsen MD, Song JY et al. Pancreatitis in pregnancy: a 10 year retrospective of 15 Midwest hospitals. Obstet Gynecol 2008; 112 (5): 1075–1081. doi: 10.1097/AOG. 0b013e318185a032.

9. Hughes DL, Hughes A, White PB et al. Acute pancreatitis in pregnancy: meta-analysis of maternal and fetal outcomes. Br J Surg 2022; 109 (1): 12–14. doi: 10.1093/bjs/znab221.

10. Pitchumoni CS, Yegneswaran B. Acute pancreatitis in pregnancy. World J Gastroenterol 2009; 15 (45): 5641–5646. doi: 10.3748/ wjg.15.5641.

11. Bougard M, Barbier L, Godart B et al. Management of biliary acute pancreatitis. J Visc Surg 2019; 156 (2): 113–125. doi: 10.1016/ j.jviscsurg.2018.08.002.

12. Hess E, Thumbadoo RP, Thorne E et al. Gallstones in pregnancy. Br J Hosp Med 2021; 82 (2): 1–8. doi: 10.12968/hmed.2020.0330.