Kim Ji Yeon, Jung Sung Hoon, Choi Hyung Wook, Song Dong Jin, Jeong Cheol Yoon, Lee Dong Hyun, Whang Il Soon
Ji Yeon Kim, Sung Hoon Jung, Hyung Wook Choi, Dong Jin Song, Cheol Yoon Jeong, Dong Hyun Lee, Il Soon Whang, Department of Internal Medicine, Cheil General Hospital and Women's Healthcare Center, Kwandong University College of Medicine, Seoul KS013, South Korea.
World J Gastroenterol. 2014 Nov 21;20(43):16364-7. doi: 10.3748/wjg.v20.i43.16364.
Acute pancreatitis during pregnancy is a rare event, and can be associated with high maternal mortality and fetal loss. Gallstone disease is thought to be the most common causative factor of acute pancreatitis, but, in many cases, the cause remains unclear. We report a case of a 36-year-old woman at 35 wk of gestation, who presented with severe pain confined to the upper abdomen and radiating to the back. The patient was diagnosed with acute idiopathic pancreatitis, which was managed conservatively; she recovered within several days and then delivered a healthy baby. Therefore it is important to consider acute pancreatitis when a pregnant woman presents with upper abdominal pain, nausea and vomiting in order to improve fetal and maternal outcomes for patients with acute pancreatitis.
妊娠期急性胰腺炎是一种罕见的病症,可能与孕产妇高死亡率和胎儿丢失有关。胆结石疾病被认为是急性胰腺炎最常见的致病因素,但在许多情况下,病因仍不明确。我们报告一例36岁女性患者,在妊娠35周时出现局限于上腹部并放射至背部的剧烈疼痛。该患者被诊断为急性特发性胰腺炎,经保守治疗;她在数天内康复,随后产下一名健康婴儿。因此,当孕妇出现上腹部疼痛、恶心和呕吐时,考虑急性胰腺炎很重要,以便改善急性胰腺炎患者的母婴结局。