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妊娠期重症急性胰腺炎

Severe acute pancreatitis in pregnancy.

作者信息

Abdullah Bahiyah, Kathiresan Pillai Thanikasalam, Cheen Lim Huay, Ryan Ray Joshua

机构信息

Discipline of Obstetrics and Gynaecology, Faculty of Medicine, MARA University of Technology (UiTM), Jalan Hospital, 47000 Sungai Buloh, Malaysia ; Hospital Sungai Buloh, Jalan Hospital, 47000 Sungai Buloh, Malaysia.

Hospital Sungai Buloh, Jalan Hospital, 47000 Sungai Buloh, Malaysia.

出版信息

Case Rep Obstet Gynecol. 2015;2015:239068. doi: 10.1155/2015/239068. Epub 2015 Jan 5.

Abstract

This is a case of a pregnant lady at 8 weeks of gestation, who presented with acute abdomen. She was initially diagnosed with ruptured ectopic pregnancy and ruptured corpus luteal cyst as the differential diagnosis. However she then, was finally diagnosed as acute hemorrhagic pancreatitis with spontaneous complete miscarriage. This is followed by review of literature on this topic. Acute pancreatitis in pregnancy is not uncommon. The emphasis on high index of suspicion of acute pancreatitis in women who presented with acute abdomen in pregnancy is highlighted. Early diagnosis and good supportive care by multidisciplinary team are crucial to ensure good maternal and fetal outcomes.

摘要

这是一例妊娠8周的孕妇,表现为急腹症。最初诊断为异位妊娠破裂和黄体囊肿破裂作为鉴别诊断。然而,她最终被诊断为急性出血性胰腺炎并伴有自然完全流产。随后对该主题的文献进行了综述。妊娠期急性胰腺炎并不少见。强调对妊娠期间出现急腹症的女性高度怀疑急性胰腺炎。多学科团队的早期诊断和良好的支持性护理对于确保良好的母婴结局至关重要。

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