Bahloul M, Ayedi M, Dammak H, Trabelsi K, Bouaziz M
Service de réanimation médicale, CHU Habib-Bourguiba, Sfax, Tunisie.
Ann Fr Anesth Reanim. 2004 Mar;23(2):157-9. doi: 10.1016/j.annfar.2003.11.017.
The acute pancreatitis is a rare complication during the pregnancy. Causes are dominated by the gallstones and hyperlipidemia. This case report describes a 35-year-old pregnant woman who developed acute pancreatitis while suffering from a severe pre-eclampsia syndrome. Since she had no gallstones or other known aetiological factors of acute pancreatitis, the possibility of an etiologic role of pancreatic ischaemic changes associated with eclampsia is discussed. Evolution was marked with multi-organ system failure and poor outcome. Our experience and the previously reported case suggest that pre-eclampsia could be added to the list of causes of the acute pancreatitis.
急性胰腺炎是孕期罕见的并发症。病因以胆结石和高脂血症为主。本病例报告描述了一名35岁的孕妇,她在患有严重子痫前期综合征时发生了急性胰腺炎。由于她没有胆结石或其他已知的急性胰腺炎病因,因此讨论了与子痫相关的胰腺缺血性改变的病因学作用的可能性。病情发展以多器官系统功能衰竭和不良预后为特征。我们的经验和先前报道的病例表明,子痫前期可被列入急性胰腺炎的病因清单。