Erkan Gulbanu, Dogan Ibrahim, Ozenirler Seren, Tuncer Candan
Division of Gastroenterology, Department of Internal Medicine, Faculty of Medicine, Ufuk University Hospital, Mevlana Bulvarı no. 86-88, Balgat, 06520 Ankara, Turkey.
ISRN Gastroenterol. 2011;2011:481980. doi: 10.5402/2011/481980. Epub 2011 Apr 11.
A 24-year-old pregnant patient was referred to us because of pain and tenderness in the right upper quadrant. Her liver enzymes and bilirubin levels were elevated; an abdominal ultrasound examination revealed gallstones within the gallbladder. Diagnosis of biliary pancreatitis was established based on elevated amylase levels. Oral intake was withheld; intravenous antibiotic therapy and total parenteral nutrition were administered. An endoscopic sphincterotomy without the use of fluoroscopy was performed. Abdominal pain and elevated serum amylase levels subsided after this procedure. In our case, biliary pancreatitis, which developed during pregnancy, responded well to the endoscopic sphincterotomy, and this procedure obviated the need for surgical intervention and prevented the recurrence of pancreatitis.
一名24岁的孕妇因右上腹疼痛和压痛被转诊至我院。她的肝酶和胆红素水平升高；腹部超声检查发现胆囊内有胆结石。根据淀粉酶水平升高确诊为胆源性胰腺炎。停止经口进食；给予静脉抗生素治疗和全胃肠外营养。在未使用荧光透视的情况下进行了内镜下括约肌切开术。术后腹痛和血清淀粉酶水平升高的情况缓解。在我们的病例中，妊娠期发生的胆源性胰腺炎对内镜下括约肌切开术反应良好，该手术避免了手术干预的必要性，并预防了胰腺炎的复发。
