Eddy Jennifer J, Lynch Gerald E, Treacy Deborah E
Department of Family Practice, University of Wisconsin Medical School, 807 South Farwell Street, Eau Claire, USA.
J Perinatol. 2003 Jan;23(1):69-72. doi: 10.1038/sj.jp.7210831.
Pancreatic pseudocyst in pregnancy is a rare condition whose management is not standardized.
We combine one case report with nine others published in the literature since 1980. The cases are compiled to provide a descriptive review of this condition.
The natural history of pancreatic pseudocysts in pregnancy appears similar to that in nongravid patients. Hyperlipidemia is overrepresented as a cause of pancreatic pseudocysts in pregnancy, causing more cases than alcoholic and biliary pancreatitis combined. Seventy-five percent of cases of known parity was primaparous. While in some cases percutaneous or endoscopic drainage was performed antepartum, most patients were conservatively managed until delivery. Despite two cases of successful vaginal delivery, cesarian section may be preferable for large pseudocysts to avert rupture.
妊娠期胰腺假性囊肿是一种罕见疾病，其治疗尚无标准化方案。
我们将1例病例报告与1980年以来发表在文献中的其他9例病例相结合。汇总这些病例以对该疾病进行描述性综述。
妊娠期胰腺假性囊肿的自然病程似乎与非妊娠患者相似。高脂血症在妊娠期胰腺假性囊肿病因中所占比例过高，导致的病例数超过酒精性胰腺炎和胆源性胰腺炎病例数之和。已知分娩史的病例中有75%为初产妇。虽然在某些情况下产前进行了经皮或内镜引流，但大多数患者在分娩前接受保守治疗。尽管有2例成功经阴道分娩，但对于较大的假性囊肿，剖宫产可能更可取，以避免破裂。
